探討產婦產後初期對自己及新生兒之關注及所感受的護理照顧

A Study of the Maternal Concerns about Themselves and Their Babies, and Their Perceptions of Nursing Care During Early Postpartum Period

吳鳳英(F.Y. Wu) ； 鄧素文(S.W. Teng) ； 謝麗華(L.H. Shieh)

《護理研究》 2卷1期 (1994/03) Pp. 78-89

https://doi.org/10.7081/NR.199403.0078

摘要

本研究采半結構式會談法，研究目的有四：（一）探討產婦於產後初期對自己及新生兒所關注之內容（二）了解隨產後日數之進展其關注事項之改變（三）比較自然生產與剖腹產婦在關注內容上的差异（四）比較產後初期產婦之關注與所感受到的護理照顧。樣本之收集采立意取樣，於產婦產後第一至五日每日進行會談并收集資料，所得資料以內容分析法整理歸類，再應用平均人次百分比比較。結果發現（一）產婦於產後初期之主要關注對象是自己，關注之內容為基本生理需求的滿足、身體的恢復、育兒及其支持系統的安排：而對新生兒的關注內容為親子間之依附、提供照顧之技巧及準備、生長發育與身體的狀況（二）隨產後日數的進展，產婦對自身的關注逐漸下降，伴隨與新生兒的接觸增加，對其關注逐日上升（三）剖腹產產婦對自身的關注較自然生產產女持久（四）產婦對自身「育兒及其支持系統安排」關注程度較她所感受的護理照顧為高，而在對新生兒的關注方面，其對「新子間之依附」關注程度亦遠較她所感受到的護理照顧為高。

關鍵字

產婦之關注 ； 護理照顧 ； 產後初期

並列摘要

The purpose of this study is to explore the maternal concerns about themselves and their babies, as well as their perceptions of nursing care during early postpartum period.
In this study, a purposive sampling was applied. Using a semistructured interview guide, 20 lying-in women were interiewed from the first day to the fifth day after delivery. All the data was categorized through content analysis, Then the percentages were applied to analyze.
The results of this sutdy showed:
(1) The subjects' major concerns were about themselves during their early postpartum period. The contents of their concern over themselves included: the satisfactions of physical demand; the recoveries of their own bodies; and the arrangements of support system. The contents of their concerns over their newborn babies were: the maternal—child attachment; the preparations for taking care of their newborn babies; the growth development, and characteristics of their newborn babies.
(2) Along with the postpartum days, the mothers self-concerns decreased. On the contrary, their concers over the newborn babies increased.
(3) The women who had cesarean delivery showed longer periods of self-concern than those who had vaginal delivery.
(4) Maternal concerns about the arrangements of the support system were greater than their perception of the received nursing care.

並列關鍵字

early maternal concern ； nursing care ； postpartum period