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研究生:姜震綉
研究生(外文):Chiang, Chen-Hsiu
論文名稱:袋鼠式護理對新生兒生理變化之研究
論文名稱(外文):Neonatal physiological change after post-partum kangaroo style nursing
指導教授:陳瑞照陳瑞照引用關係
指導教授(外文):Chen, Juei-Chao
學位類別:碩士
校院名稱:輔仁大學
系所名稱:應用統計學研究所
學門:數學及統計學門
學類:統計學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
論文頁數:73
中文關鍵詞:袋鼠式護理新生兒新生兒生理變化
外文關鍵詞:kangaroo carenew bornkangaroo care
相關次數:
  • 被引用被引用:1
  • 點閱點閱:411
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:3
本研究主要目的為探討產後母親在產房執行袋鼠式護理對新生兒生理上變化及對母乳哺餵的影響因素相關性。本研究採類實驗以立意取樣方式選取140位產後母親及其新生兒為對象,分為實驗組與對照組各70位。實驗組母親在生產過程結束後,產後一小時內在產房進行袋鼠式護理母乳哺餵約20分鐘,監測新生兒出生後體重、身高、頭圍變化及母親哺乳方式。本研究採描述性統計部份以百分比、平均值、標準差表示,並以t-test、McNemar多元變數檢定、邏輯斯迴歸方法等方法來分析差異及相關性。
研究結果顯示新生兒在出生第十天體重實驗組較對照組有顯著增加。母嬰同室與母乳哺餵持續率具有相關性,在哺餵母乳方面,兩組在產後住院期間及產後二個月的純母乳哺育率,有顯著差異,且實驗組純母乳哺育率皆較控制組高。
本研究發現袋鼠式護理確實能增加新生兒兒體重生長及促進哺餵母乳持續率增加。此有效的護理措施值得推廣與應用,期望能提供更專業化、高品質的母嬰護理,及提升母乳哺育率。
The purpose of this study was to investigate the neonatal physiological change after kangaroo style nursing during post-partum period and the factors which influence the maternal breast-feeding.
This is a pilot study including 140 pairs of post-partum woman and newborn. One group containg seventy newborns were collected and had kangaroo style nursing after informed consents obtained. The other group seventy newborns had no breast feeding at delivery room as control group. The kangaroo style nursing was performed at least 20 minites in one hour after delivery. We monitored the neonatal physiological change, including body weight, body length and head circumrence for one month.
The descriptive methods used in this study were percentile, mean value and standard deviation. We use t-test, Marginal homogeneity test, and Pearson correlation and regression method to analysis the difference.
Our study showed the Day 10 body weight of newborn receving kangaroo style nursing had significant difference compared to the control group. The Room-In had positive correlation to the persistence of breast-feeding. The group with kangaroo style nursing had higher percentage of breast-feeding on Day 3 and one month after delivery compared to the control group. But there is no statistical significantce by .
This study demonstrated the kangaroo style nursing increased th newborn body weight and promote the persistence of breast-feeding. The nursing application is worthy to promoting for hogh quality of care.
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究流程 3
第四節 名詞解釋 4
第二章 文獻探討 6
第一節 產檯立即哺餵母乳的探討 6
第二節 袋鼠式護理運作之概念及臨床應用 8
第三節 新生兒的生理指標 11
第四節 母乳哺餵的因素研究 13
第三章 研究方法 17
第一節 研究對象 17
第二節 研究設計 17
第三節 研究假設 18
第四節 研究架構 18
第五節 資料收集 20
第六節 分析方法 20
第四章 研究結果 24
第一節 研究對象之基本資料分析 24
第二節 影響新生兒生理變化 34
第三節 新生兒生理變化 36
第四節 研究對象的母乳哺餵持續率 52
第五章 討論 54
第一節 研究對象母乳哺餵態度的差異 54
第二節 研究對象母乳哺餵持續率的差異 54
第三節 袋鼠式護理對新生兒體重生長之影響 55
第六章 結論與建議 57
第一節 結論 57
第二節 研究建議 58
參考文獻 60
中文部分: 60
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附錄一 參與研究同意書 69
附錄二 實驗組與對照組之體重變化 70
附錄三 新生兒分級表 71
附錄四 男孩新生兒生長曲線表 72
附錄五 女生新生兒生長曲線表 73
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