周產期母乳哺育指導與產婦執行24小時親子同室之相關性

The Impact of Perinatal Breastfeeding Practices on Implementation of the 24 -Hour Rooming-In Program

林育靜(Yu-Ching Lin) ； 楊嘉玲(Chia-Ling Yang) ； 高美華(Mei-Hua Kao) ； 李靜宜(Ching-Yi Lee)

《長庚護理》 23卷1期 (2012/03) Pp. 27-40

https://doi.org/10.6386/CGN.201203_23(1).0003

摘要

The aim of this study was to explore the impact of perinatal breastfeeding practices intervention during pregnancy and post-natal period on implementation of 24-hour rooming-in. The research used a descriptive correlation design. Data were collected from postpartum wards of a regional teaching hospital in northern Taiwan. The research instruments included ”Prenatal Breastfeeding Educational Record” and ”Postnatal Breastfeeding Practices Assessment”. A total of the 500 postpartum women joined the study from Sep. 2007 to Jun. 2008. The results showed that women with education below high school were 2.10 times more likely to perform rooming-in (95% CI=1.18-3.72, p ＜ .05). Vaginal delivery and having breastfeeding experiences were positively associated with rooming-in (Odds ratio= 2.28, 95% CI=1.40-3.71, p ＜ .01 and 1.65, 95% CI=1.08-2.51, p ＜ .05), respectively. The postpartum women who accepted training of nursing practices of ”The advantage of breast-feeding” had higher chance of implementing rooming-in (OR=2.9, 95% CI=1.77-4.76, p ＜ .001). Women who accepted prenatal training of ”The importance of rooming-in” and accepted training of ”Postpartum rooming-in” were less likely to implement rooming-in (OR= 0.46, 95% CI=0.29-0.73, p ＜ .01 and OR=0.13, 95% CI=1.77-4.76, p ＜ .001) respectively. Based on the results, pregnancy and postnatal breast-related care content should be tailored to enhance the implementation of rooming-in and improve the quality of care for infants and mothers.

關鍵字

孕期衛教 ； 親子同室 ； 護理措施

並列摘要

The aim of this study was to explore the impact of perinatal breastfeeding practices intervention during pregnancy and post-natal period on implementation of 24-hour rooming-in. The research used a descriptive correlation design. Data were collected from postpartum wards of a regional teaching hospital in northern Taiwan. The research instruments included ”Prenatal Breastfeeding Educational Record” and ”Postnatal Breastfeeding Practices Assessment”. A total of the 500 postpartum women joined the study from Sep. 2007 to Jun. 2008. The results showed that women with education below high school were 2.10 times more likely to perform rooming-in (95% CI=1.18-3.72, p ＜ .05). Vaginal delivery and having breastfeeding experiences were positively associated with rooming-in (Odds ratio= 2.28, 95% CI=1.40-3.71, p ＜ .01 and 1.65, 95% CI=1.08-2.51, p ＜ .05), respectively. The postpartum women who accepted training of nursing practices of ”The advantage of breast-feeding” had higher chance of implementing rooming-in (OR=2.9, 95% CI=1.77-4.76, p ＜ .001). Women who accepted prenatal training of ”The importance of rooming-in” and accepted training of ”Postpartum rooming-in” were less likely to implement rooming-in (OR= 0.46, 95% CI=0.29-0.73, p ＜ .01 and OR=0.13, 95% CI=1.77-4.76, p ＜ .001) respectively. Based on the results, pregnancy and postnatal breast-related care content should be tailored to enhance the implementation of rooming-in and improve the quality of care for infants and mothers.

並列關鍵字

prenatal education ； rooming-in ； nursing intervention