初產婦與經產婦母乳哺餵之自我效能及其影響因素

Breastfeeding Self-efficacy of Primipara and Multipara and the Aaffecting Factors

孫燕芬(YEN-FEN SUN)

指導教授 ： 鐘淑英

中臺科技大學/護理學院/護理研究所/碩士(2018年)

摘要

初產婦與經產婦母乳哺餵之自我效能及其影響因素
摘 要
母乳哺餵養育健康的下一代，然而產婦選擇母乳哺餵及母乳哺餵持續時間受到很多因素影響，母乳哺餵自我效能(breastfeeding self-efficacy)可以代表產婦有能力哺餵母乳給嬰兒的自信心指標。故本研究旨在探討初產婦與經產婦母乳哺餵自我效能及其影響因素。採橫斷性研究及立意取樣，以產後婦女為研究對象，於台中兩間區域醫院之產後病房為研究場所。使用結構性問卷，包括基本屬性、產後憂鬱、社會支持、母乳哺餵自我效能短版(breastfeeding self-efficacy scale short form，簡稱BSES-SF)。於民國106年6～9月收案238名有效樣本，所收集之資料以SPSS 19.00 for Windows統計軟體進行分析。結果顯示全體研究對象BSES-SF得分平均為44.45±12.74分，屬於中上程度；經產婦之BSES-SF得分高於初產婦（p＜.001）。基本屬性中以胎次、過去純母乳哺餵經驗、選擇24小時親子同室、住院期間哺餵方式、預計母乳哺餵持續時間等項目，與BSES-SF達顯著差異（p < .001）。產後憂鬱與BSES-SF呈負相關（r= -.33 ，p< .001）；社會支持-表現頻率（r = .49，p < .001）、社會支持-幫助程度（r = .45，p < .001）與BSES-SF呈正相關。基本屬性、產後憂鬱及社會支持為產後婦女母乳哺餵自我效能的影響因素，迴歸模式解釋變異量達60%以上。本研究結果影響產後婦女母乳哺餵自我效能之因素，能提供臨床護理人員教導產婦母乳哺餵指引之參考。關鍵字: 母乳哺餵自我效能、初產婦、經產婦、影響因素

關鍵字

經產婦 ； 初產婦 ； 母乳哺餵自我效能 ； 影響因素

並列摘要

Breastfeeding self-efficacy of primipara and multipara and the affecting factors
Abstract
Breastfeeding makes babies healthier. However, mother’s choosing breastfeeding and exclusive breastfeeding are influenced by many factors. Breastfeeding self-efficacy is defined as the index of woman’s confidence in her ability to perform successful breastfeeding to baby. The study is to explore the breastfeeding self-efficacy of primipara and multipara and the affecting factors. A cross-sectional design and purposive sampling study was used. The postpartum women are the research objects. The two regional hospitals in Taichung were the study places. A structured questionnaire used included basic attributes, postpartum depression, social support, and breastfeeding self-efficacy scale short form (BSES-SF). Total subjects were 238 cases collected from June, 2017 to September, 2017. The data were analyzed by SPSS 19.0 for Windows statistic software. The results showed that mean BSES-SF score of all subjects was 44.45 ± 12.74 points, belonged to middle-high degree. The BSES-SF of multipara was higher than that of primipara (p <.001). In the basic attributes, There was statistically difference between labor times, breastfeeding experience, choosing a 24-hour rooming-in, feeding method during hospitalization, and planned exclusive breastfeeding time and BSES-SF (p <.001). The negative correlation was found between postpartum depression and BSES-SF (r = -.33, p <.001). Social support-performance frequency (r = .49, p <.001) and social support-help (r = .45, p <.001) were positively correlated with BSES-SF respectively. Basic attributes, postpartum depression, and social support were the affecting factors of BSES-SF for postpartum women, explained over 60% of the variance in the regression model. The results of this study, factors affecting BSES-SF of postpartum women, can make a reference for clinical nurses to teach breastfeeding guides to postpartum women.
Keywords: breastfeeding self-efficacy, primipara, multipara, affecting factors

並列關鍵字

multipara ； primipara ； breastfeeding self-efficacy, ； affecting factors

參考文獻

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.

參考文獻

中文部分

王雅婷、王秀禾、吳素綿、鄭于芳、廖紋玲(2014)‧產婦選擇哺餵方式及其相關因素之探討‧若瑟醫護雜誌，8(1)，5-16。[Wang, Y. T., Wang, H. H., Wu, S. M., Cheng, Y. F., ＆Liao, W. L. (2014). Factors influencing the selection of feeding methods by postpartum women. The Journal of St. Joscph’s Hospital Medical＆Nursing, 8(1), 5-16.]

林雅玟、曾雅玲、楊雅玲(2013)‧親善生產措施與母乳哺育‧護理雜誌，60(1)，5-10。[Lin, Y. W., Tzeng, Y. L., ＆Yang, Y. L. (2013). Mother-friendly childbirth practices and breastfeeding. The Journal of Nursing, 60(1), 5-10. ]