產後住院期間母乳哺育自覺成效、社會支持與持續哺乳狀態之相關研究

Postpartum hospitalization period of Breastfeeding effectiveness results, social support and continued breastfeeding state related research

王貴靜(Kuei-Ching Wang)

指導教授 ： 羅英瑛

義守大學/醫學院/醫務管理學系/碩士(2014年)

https://doi.org/10.6343/ISU.2014.00348

摘要

母嬰親善醫院認證為眾多醫院評鑑項目之一，也是醫學中心評鑑的門檻之一，醫院提倡哺餵母乳不僅可以建立醫院正面形象更能減少醫療成本。根據國內、外學者研究指出，產後初期母乳哺餵自覺成效越高，其持續哺乳機率越高。本研究目的為探討產後初期的產婦其母乳哺育自覺成效與重要他人給予的支持，對於產後持續哺乳的影響，期使研究結果能協助提升產後持續哺乳的機率。
本研究以產後住院期間的產婦為研究對象，於2014年02月15日至2014年05月20日期間針對南部某家醫學中心之產婦進行立意抽樣，透過結構式問卷收集資料，共收集240份有效問卷。資料進行描述性統計、平均數差異顯著性考驗（t檢定）、卡方檢定及邏輯斯迴歸分析。
研究結果發現產後初期母乳哺育自覺成效與產後住院期間、第一個月、第二個月哺乳狀態具顯著相關；社會支持與母乳哺餵自覺成效呈顯著正相關；社會支持中先生的情緒性支持、護理師的實質性支持與亦與持續哺乳有顯著的關係。
經由本研究的結果，多數的產婦的母乳哺餵知識、技能及信心不足，建議臨床上實際評估寶寶含乳及吸吮情形，並實際進行床邊教導及協助哺乳，並邀請家庭成員共同參與及協助產婦哺乳，以減輕產婦的壓力提升哺乳的意願，更期望本研究能提供母嬰親善政策制訂者推動母乳哺餵相關政策之參考。

關鍵字

母乳哺育自覺成效 ； 母乳哺育社會支持 ； 持續哺乳狀態

並列摘要

Baby-friendly hospital authentication is the one of hospital accreditation threshold of Academic Medical Centers.Hospital advocates breastfeeding can not only build a positive image of the hospital and help reduce health care costs.According to domestic and foreign scholars pointed out that the effectiveness of early postnatal breastfeeding perception, the higher the probability of its continuing breastfeeding.The research aimed at the effects on the continued postpartum breastfeeding with early postpartum breastfeeding mothers perceived their effectiveness and Significant others to support.The results can help to improve that the probability of continued postpartum breastfeeding.
The research took the women that just gave birth a baby and were hospitalized temporarily as subjects of study. Purposive sampling for maternal of southern Medical Center, 240 valid structured questionnaires were collected between 2014/02/13 to 2014/05/20.Data were analyzed by descriptive statistics, t test, chi-square test and logistic regression analysis.
The results demonstrated that Significant correlations were found among the breastfeeding statusduring the postpartum hospitalization and the first two-month after birth and perception on breastfeeding effectiveness. Social support and perceived effectiveness of breastfeeding was significantly positively correlated; And there are also has a Significant correlations between keeping breast-feed with companion’s emotional support and the useful skill support from nurse.
We found that most breastfeeding mothers lack of knowledge, skills and confidence about breastfeeding from this study. On Clinical recommendations, we can do more such like to actual assessment of baby’s sucking situations and actual bedside nursing to teach and assist breasted; Invite family members to participate in help mother breast-feeding In order to reduce maternal stress and improve the willingness of breastfeeding. And also hope that this research can provide policy makers to promote goodwill maternal breastfeeding policy.

並列關鍵字

perception on breastfeeding effectiveness ； breastfeeding Social support ； breastfeeding status during

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