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研究生:紀麗花
研究生(外文):Lih-Hua Jin
論文名稱:產檯立即哺餵經驗對母乳哺餵持續率及親子依附關係的相關性探討
論文名稱(外文):Correlation of Early Feeding Experience to the Consistency of Breast Feeding and Maternal-Infant Attachment
指導教授:李從業李從業引用關係
指導教授(外文):Tsorng-Yeh Lee
學位類別:碩士
校院名稱:國防醫學院
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:97
中文關鍵詞:產檯立即哺餵母乳哺餵態度母乳哺餵持續率親子依附關係
外文關鍵詞:early feedingattitude of breast feedingconsistency of breast feedingmaternal-infant attachment
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本研究主要目的為探討產後婦女在產房執行產檯立即哺餵經驗對母乳哺餵持續率及親子依附關係的相關性。合併質性與量性研究,質性方面以內容分析法,分析執行產檯立即哺餵婦女的經驗感受;量性方面採類實驗性研究設計,以立意取樣方式選取60位第一胎自然產產後婦女及其配偶、坐月子期間主要照顧者為對象,分為實驗組與控制組各30名。實驗組產婦在生產過程結束後,產後一小時內在產房進行早期的母嬰接觸與母乳哺餵約20-30分鐘。使用研究工具包括產婦哺餵態度量表、母子依附行為量表、配偶哺餵母乳態度量表、主要照顧者哺餵母乳態度量表。因多數資料未吻合常態分佈故採無母數統計檢定法分析。
本研究結果發現:一、執行產檯立即哺餵有助於產後六週的母乳哺餵持續率。二、實驗組在產後六週的親子依附關係,較控制組更能提供嬰兒社會-情緒方面的成長。三、配偶哺餵態度與母乳哺餵持續率呈現正相關。四、懷孕週數與產婦母乳哺餵態度呈現正相關。五、配偶年齡與產後住院期間親子依附關係呈正相關。六、產婦年齡與產後六週親子依附關係呈正相關。七、母嬰同室與母乳哺餵持續率具有相關性。八、產婦的職業、決定哺餵母乳的時間與住院期間親子依附關係具相關性。九、產婦對嬰兒的期望性別與依附關係改變量具相關性。十、產檯立即哺餵的經驗感受為首次的親密接觸、互動的喜悅與滿足、是一種學習經驗、也是一種象徵意義、若有乳汁分泌會更圓滿、實現願望的感覺及首次的溫馨全家福。根據研究結果可作為臨床護理人員提供協助產檯哺餵時的參考、在產前生產教育課程中,配偶亦應列入指導對象,裨能在產後提供支持、鼓勵與協助,達到身、心、靈與社會兼顧以家庭為中心的護理目標,及提昇母乳哺育率。
The aim of the study was to explore the correlation of the early feeding experience to the consistency of breast feeding and maternal-infant attachment. Combine qualitative with quantitative research designs were used to collect the results. The former focused on the experience of early feeding in the delivery room, was audio tape-recorded and then verbatim transcripts were used for content analysis; and the latter focused on quasi-experimental design, which enrolled 60 primigravida women with normal vaginal delivery , their husbands and main caregivers . The 60 women were divided into two groups and each group contained 30 women. One was experimental group containing early feeding for 20 to 30 minutes within one hour after normal vaginal delivery and the other group was controlled group without the above-mentioned manipulation. Four questionnaires were utilized to collect quantitative data. Due to the collected data weren’t normality, non-parametric statistics methods were used to analyze data.
The findings of this study were: 1. early feeding enhanced the consistent and continuity of breast-feeding after 6 weeks’ postpartum care; 2. Correlation of early feeding and maternal- infant attachment showed positively improvement for infant-social- emotional stability; 3. The breast feeding attitudes of husbands were directly correlated to the consistency of breast feeding; 4. The gestational age showed positive correlation to the attitude of women’s breast feeding; 5. The ages of the husbands showed positive correlation to the maternal-infant attachment; 7. A positive correlation was found between rooming-in and consistency of breast-feeding; 8. The occupation of the women and the time of deciding breast-feeding showed significant correlation to the maternal-infant attachment; 9. The desired sex of infant showed significant correlation to the change of the maternal-infant attachment; 10. The experience of early feeding not only offered the first close touch and relationship, active interaction, satisfactory feeling ,learning experience, symbolizing, but also achieving and warm home feeling.
Based on study results the following suggestion that early feeding might be an important procedure in clinical practice and can be viewed as preliminary data to assist early feeding in the delivery room. In addition, pre-labor training course should include the women’s husbands because husbands could provide encouragement, support and assistance for postpartum women. The quality of family-centered maternity care and the breast-feeding could then be improved.
頁次
第壹章 緒論 ………………………………………………………… 1
第一節 研究背景與動機 ……………………………………………2
第二節 研究目的 ……………………………………………………6
第貳章 文獻查證 ……………………………………………………7
第一節 產檯立即哺餵母乳的探討 …………………………………7
第二節 母乳哺餵的態度探討 ………………………………………9
第三節 母乳哺餵的持續性探討……………………………………10
第四節 親子依附關係的探討………………………………………12
第五節 母乳哺餵的持續性與親子依附關係及其影響因素………15
第參章 概念架構……………………………………………………16
第一節 研究架構……………………………………………………16
第二節 研究問題……………………………………………………18
第三節 名詞界定……………………………………………………19
第肆章 研究方法……………………………………………………21
第一節 研究設計……………………………………………………21
第二節 研究對象及場所……………………………………………22
第三節 研究工具與信、效度………………………………………22
第四節 研究步驟……………………………………………………28
第五節 資料處理與分析……………………………………………30
第六節 倫理考量……………………………………………………32
第伍章 研究結果 …………………………………………………33
第一節 研究對象人口學屬性………………………………………34
第二節 研究對象母乳哺餵態度的分析與比較……………………42
第三節 研究對象的母乳哺餵持續率………………………………54
第四節 研究對象的親子依附關係…………………………………60
第五節 研究對象哺餵態度、母乳哺餵持續率及
親子依附關係之比較分析…………………………………65
第六節 研究對象人口學屬性與哺餵態度、母乳哺餵持續率及
親子依附關係之比較分析…………………………………67
第七節 研究對象在產房立即哺餵母乳的經驗感受………………75
第陸章 討論…………………………………………………………82
第一節 研究對象母乳哺餵態度的差異……………………………83
第二節 研究對象的母乳哺餵持續率的差異………………………84
第三節 研究對象的親子依附關係的差異…………………………87
第四節 研究對象的哺餵態度、母乳哺餵持續率及
親子依附關係之相關性 ………………………….………88
第五節 研究對象人口學屬性與哺餵態度、母乳哺餵持續率及
親子依附關係之相關性……………………………………89
第六節 執行產檯立即哺餵婦女之經驗感受………………………91
第柒章 結論與建議………………………………………..………93
第一節 結論…………………………………………………………93
第二節 護理學上的應用……………………………………………96
第三節 研究限制級對未來研究的建議……………………………98
參考資料 ……………………………………………………………101
中文文獻……………………………………………………………101
英文文獻……………………………………………………………104
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1. 鄧素文、何雪華、郭敏娟(1994).影響哺母乳產婦滿月時哺餵方式相關因素之探討.護理研究,2(2),153-165。
2. 5.黃玉娟、徐守德,“台股指數現貨與期貨市場價格動態關連性之研究”,證券市場發展季刊第九卷第三期,1997,頁1-28。
3. 楊素珍、陳彰惠(2001).父親對哺餵母乳的態度、父子依附及婚姻調適之相關性探討.護理研究,9(3),279-287。
4. 馮容莊(1994).中國母親的新生兒概念與哺餵互動行為之相關性探討.護理研究,2(2),110-129。
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