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研究生:朱桂慧
研究生(外文):Kuei-Hui Chu
論文名稱:醫療機構因子對住院期間母乳哺育率之影響
論文名稱(外文):Effects of Institutional Factors on Incidence of Breastfeeding during Hospitalization
指導教授:簡莉盈簡莉盈引用關係
指導教授(外文):Li-Yin Chien
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床護理研究所
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:2004
畢業學年度:92
語文別:中文
論文頁數:96
中文關鍵詞:母乳哺餵醫療機構因子盛行率
外文關鍵詞:breastfeedinginstitutional factorsprevalence
相關次數:
  • 被引用被引用:9
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摘要
國內尚未有探討各級醫療機構母乳哺育率的全國性研究。本研究的目的是探討醫療機構因子對住院期間母乳哺育率的影響。採橫斷、相關性研究設計,研究母群體為於民國92年6月至10 月在台灣地區之醫療院所生產之婦女。凡於研究期間在台灣地區生產,嬰兒沒有先天異常的母親均列為研究對象。母群資料由衛生署人口統計中心之出生登記取得,以機率比率抽樣法,依產婦居住地別,分為北區、中區、南區、東區、台北市、高雄市六區,再照民國91年六個地區出生人數的比率,進行抽樣。在婦女產後一個月以郵寄問卷方式,採回溯性進行調查,共回收問卷2079份。研究變項包括醫療機構因子、社會人口學特性、孕產期變項。所得資料以SPSS for Windows version 10.0進行統計分析,單一變項分析,以平均值、標準變異量、百分比表示。各變項與母乳哺餵的關係以卡方檢定檢測之。多變項分析以logistic regression執行。
研究對象住院期間之純母乳哺育率為17.9%,母乳與配方奶混合哺餵47%。雙變項分析顯示,在嬰兒親善醫院、醫院層級越高、教學醫院、公立醫院及醫院年出生數越高的醫院生產其母乳哺育率較高。以多變項對數回歸預測影響住院期間母乳哺餵因子,結果顯示在嬰兒親善醫院生產、在地區醫院層級以上會有較高機會採行母乳哺餵、擁有專科以上教育程度、有前胎哺餵經驗、及剖腹生產的產婦在住院期間較會採行母乳哺餵;護理人員有提供母乳哺餵訊息、在產前有參加媽媽教室的產婦也比較會採行母乳哺餵。
本研究結果可以做為政府及醫療院所推動哺餵母乳之參考。積極推動區域醫院及地區診所執行嬰兒親善措施, 訓練護理人員在產前及產後主動提供母乳哺餵諮詢,將有助於提昇住院期間之母乳哺育率。
Abstract
There have been few reports comparing the rate of breastfeeding at different level of hospitals in Taiwan. The objective of this study was to describe the effects of institutional factors on the incidence of breastfeeding during hospitalization. This study applied a descriptive correlational design. The study population was mothers who gave birth to infants without congenital anomalies in Taiwan area from June to October 2003. The sampling frame was obtained from the Bureau of Population Statistics, Department of Health. A proportional probability sampling method was used. The samples were drawn according to the mother’s residence, i.e. East, Middle, South, North, Taipei City, and Kaohsiung City.
The rate of exclusive breastfeeding was 17.9% and mixed breastfeeding was 47% before hospital discharge. Bi-variable analysis showed that hospitals at higher level, certified baby-friendly hospitals, teaching hospitals, hospitals with higher annual birth numbers, and public hospitals, had higher rate of breastfeeding. The logistic regression results showed factors associated with breastfeeding during hospitalization. Women who delivered at a baby-friendly hospital, hospitals at higher level (medical center and regional hospital) had higher rate of breastfeeding. Higher educational level, cesarean deliveries, and previous experience of breastfeeding among mothers were positively associated with breastfeeding. Those mothers who were provided the information of breastfeeding by nurses at hospitals and who participated in prenatal classes were more likely to breastfeed their infants.
The result of this research could serve as a reference to the government and medical institutions to promote breastfeeding. The rate of breastfeeding during hospitalization could be improved by promoting baby-friendly practices at district hospitals and primary clinics. In addition, well-trained nurses to actively provide consultation on breastfeeding before and after delivery were implicated.
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