護理指導對提升初孕婦哺餵母乳知識成效之探討

Effectiveness of Nursing Instruction on Primiparas Breastfeeding Knowledge

簡素真(Su-Chen Chien) ； 蘇鈺婷(Yu-Ting Su) ； 徐雅雪(Ya-Hsveh Hsu) ； 張淑真(Su-Jen Chang) ； 蘇麗智(Lih-Jyh Su)

《醫護科技期刊》 11卷2期 (2009/06) Pp. 116-125

https://doi.org/10.6563/TJHS.2009.11(2).4

摘要

本研究旨在測試護理指導對初孕婦哺餵母乳知識之成效，並比較常規性指導方案與系統性指導方案成效之差異。採類實驗研究法，以立意取樣中部某醫學中心產前門診接受產檢的初孕婦爲研究對象。兩組研究對象在懷孕第24週於產前門診時，填完哺餵母乳知識的問卷後，分別接受常規性與系統性個別護理指導措施，於懷孕第28週回診時再度填寫知識問卷。護理指導介入前兩組各收案50人，完成研究後，對照組47位、實驗組44位。問卷資料以SPSS/PC12.0版進行描述性、卡方及獨立T檢定等統計分析。研究結果顯示：兩種護理指導方案介入後，產婦哺餵母乳知識皆有進步，然而，系統性指導方案組進步的分數顯著高於常規組，尤其是“哺餵母乳時機”、“正確餵奶方法”、“餵奶問題及處理”及“促進乳汁分泌”等，但“哺餵母乳好處”及“母乳特性”則無顯著差異。建議臨床之護理人員在進行護理指導時能採取具個別化護理觀點的系統性護理指導策略。

關鍵字

系統性護理指導方案 ； 常規性護理指導方案 ； 初孕婦 ； 哺餵母乳知識

並列摘要

The purpose of this study was (1) to examine the improvement of breastfeeding knowledge of primiparas after nursing instructions and (2) to compare the effectiveness of routine and systematic nursing instruction. A quasi-experimental study was designed, enrolling a purposive sample of primiparas who had undertook prenatal visits at a medical center of middle Taiwan, and agreed to participate in this study. Participants completed questionnaire about breastfeeding knowledge at 24-week gestation, then accepted either routine or systematic nursing instruction, and then completed the same questionnaire at 28-week gestation. The control and experiment groups each contained 50 primiparas recruited, and 47 and 44 primiparas respectively, completed this study. Data were analyzed via descriptive, X^2, pair t-test, and independent t-test using SPSS/PC 12.0. The analytical results showed that the breastfeeding knowledge was improved after intervention in both groups. Also, the improvement score of breastfeeding knowledge of systematic instructional group was significantly higher than that of routine instructional group, particularly in domains of ”timing of breastfeeding”, ”proper breastfeeding method”, ”breastfeeding problems and management”, and ”the mechanism of lactation”, but the difference was not significant in domains of ”advantages of breastfeeding” and ”characteristics of breast milk”. According to this result, this research suggested that nurses provide a systematic and individualized instructional strategy.

並列關鍵字

Systematic nursing instruction program ； routine nursing instruction program ； primipara ； breastfeeding knowledge

參考文獻

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