於母嬰同室政策下比較不同生產方式的產婦產後疲倦、嬰兒照顧活動及親子依附之差異

Under the policy of mother-baby friendly, postpartum women’s Fatigue, baby-care activities and maternal-infant attachment with different types of delivery.

賴亞伶(Ya-ling Lai)

指導教授 ： 洪志秀

高雄醫學大學/護理學院/護理學系研究所/碩士(2009年)

https://doi.org/10.6832/KMU.2009.00073

摘要

本研究的目的主要為在比較母嬰同室之陰道生產與剖腹生產產婦的產後疲倦、嬰兒照顧活動以及親子依附，本研究為非實驗性的描述性研究，採用橫斷性研究設計（cross-sectional study），以結構式問卷的方式進行資料收集，於南部已通過母嬰親善醫院評鑑之某醫學中心為收案地點，以產後病房產後滿48-72小時之陰道生產與剖腹生產產婦為本研究對象，共需120名產婦。使用產婦基本屬性量表、產後疲倦視覺類比量表（Visual Analogue Scale；VAS）、嬰兒照顧活動困難度量表、親子依附量表為研究工具。研究資料統計以spss11.0統計套裝軟體進行獨立t檢定、卡方檢定及共變數分析。
研究結果顯示陰道生產產婦產後疲倦平均得分比剖腹生產產婦產後疲倦平均得分低；陰道生產與剖腹生產產婦之產後疲倦與嬰兒照顧活動困難度呈現正相關，表示產後婦女疲倦的分數越高，其嬰兒照顧活動困難度得分越高；陰道生產與剖腹生產產婦嬰兒照顧活動困難度和親子依附關係呈現負相關，表示嬰兒照顧活動困難度得分越高，其親子依附關係得分越低。本研究的結果可提供母嬰親善醫院認證標準及執行母嬰同室護理措施時的另一層面考量與依據，建議行政院衛生署與母嬰親善醫院評鑑之相關單位及臨床護理人員，能正視產婦的產後疲倦，尤其是剖腹生產產婦，應將產後疲倦納入產後立即的護理
評估中，彈性的執行母嬰同室的護理措施，給與協助改善產後疲倦及身體不適，讓剖腹生產產婦獲得足夠休息及身體不適緩解後，才執行母嬰同室的護理措施，以提升產婦與嬰兒的健康。

關鍵字

母嬰同室 ； 產後疲倦 ； 嬰兒照顧活動困難度 ； 親子依附關係

並列摘要

The purpose of this study was to compare women’s postpartum fatigue, difficulty in baby-care activities, and maternal-infant attachment based on two different types of delivery. A descriptive comparative research design with a cross-sectional study was used. Data was collected with structured questionnaires in a medical center hospital and a regional hospital under the baby friendly policy, in Kaohsiung, Taiwan. Visual Analogue Scale (VAS), Difficulty in baby-care activities scale, and Maternal-Infant Attachment (MAI) questionnaire were used. 120 women who were in the postpartum ward after delivery were recruited in the study, 60 women in the cesarean section group and 60 in the vaginal delivery group. The cesarean delivery group showed a significantly higher score of postpartum fatigue than the vaginal delivery group. Significant positive correlations existed between postpartum fatigue and difficulty in baby care activities in both vaginal and cesarean deliveries, indicating that the higher the score of postpartum fatigue, the higher the difficulty in baby care activities. Moreover, difficulty in baby care activities and maternal-infant attachment was negative correlations, meaning that the higher the score of difficulty in baby care activities, the lower the maternal-infant attachment. The result of this study could be provided another level of consideration of making ten steps to the recognized committee of baby-friendly hospital. In addition, it can offer different nursing cares according to the diversity of woman when nurses execute rooming-in cares in order to facilitate the recovery of the postpartum and maternal-infant attachment.

並列關鍵字

rooming-in ； postpartum fatigue ； difficulty in baby-care activities ； maternal-infant Attachment.

參考文獻

參考文獻

一、中文部份

戈依莉(2002) •產後疲倦與身心情境因素之相關性•博士論文，台 北：國立台灣師範大學衛生教育學系。

李小璐(2004) •婦女之睡眠品質疲倦憂鬱產後二週及四週時間序列研究•碩士論文，台北：國立台北護理學院。

邱于珊、許世正(2006) •自然生產好？還是剖腹生產好？•高醫醫訊月刊，25(11)，4。