摘要
親子同室可以促使建立早期親子關係，增加父母育兒的自信心與成就感，並且提高純母乳哺育率，但24小時親子同室是台灣推動母嬰親善醫院認證十大措施中執行度最低的措施。本研究探討執行親子同室的相關影響因素。採縱貫式研究，於2014年8月至2015年1月透過結構式問卷、母乳哺育自我效能簡式量表於產婦產後一至七天、一個月、三個月內進行資料蒐集，共有61位同意參與研究，完成三次問卷調查的共有51位，問卷回收率為84%。研究結果發現，執行親子同室與即刻肌膚接觸、一個月哺育方式有統計上顯著相關；有執行即刻肌膚接觸者，產後選擇親子同室的機會是未執行者的39.38倍；親子同室者在產後一個月選擇純配方奶的機會會降低0.11倍。就執行親子同室的模式來看，執行24小時親子同室及產婦疲累時才將寶寶推回嬰兒室者，較常態性夜間推回嬰兒室者更傾向選擇純母乳哺育；同時產婦的母乳哺育自我效能得分，在24小時親子同室和疲累時才將寶寶推回嬰兒室的也高於夜間常態推回嬰兒室。此外，產後住院期間配偶、父母的支持度與母乳哺育自我效能有統計上正相關。產後即刻肌膚接觸與家人的支持可以提高親子同室的機會，增加母乳哺育的自我效能，進而提升一個月純母乳哺育率。建議產前加強衛教家人產後參與親子同室與發揮家庭支持力量將有助於落實親子同室執行，進而促進持續母乳哺育率。
並列摘要
Rooming-in care can lead to the establishment of early parent-child relationships, increased parental self-confidence and sense of accomplishment, and increased exclusive breastfeeding rates. However, the lowest measure in the 10-steps of baby-friendly hospital certification is 24 hours of rooming-in care in Taiwan. This study aimed to determine the influential factors of rooming-in care. This was a longitudinal study conducted from August 2014 to January 2015. Data were collected with structured questionnaires and a short-form breastfeeding self-efficacy scale according to periods of hospitalization, which were the first and the third months after birth. A total of 51 mothers completed the survey, which yielded a response rate of 84%. The results show that early skin-to-skin contact and the first-month feeding mode were significantly correlated with rooming-in. Compared with rooming-in without preceding early skin-to-skin contact, mothers with early skin-to- skin contact had a 39.38-fold chance of engaging in rooming-in. Those with rooming-in care had only a 0.11-ford chance of choosing formula or feeding during the first month after birth. Compared with different types of rooming-in implementations, both types of mothers were less likely to choose formula feeding; rather, they chose 24 hours of rooming-in and returning babies to babies' rooms when exhausted. Additionally, both types of breastfeeding self-efficacy scores were higher than those for the types that returned babies to babies' rooms at night. Early skin-to-skin contact and family support can increase the rooming-in implementation rate and increase mothers' breastfeeding self-efficacy scores, thereby enhancing the exclusive breastfeeding rate during the first month after birth. Prenatal preparation for strengthening family involvement with rooming-in and play for support will contribute to the implementation of rooming-in and further contribute toward improving breastfeeding rates.