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研究生:謝慧雯
研究生(外文):Hui-Wen Hsieh
論文名稱:運用多媒體光碟合併衛教手冊方式對新住民產婦於新生兒照顧之成效
論文名稱(外文):The Effects of the Multimedia Videodisc Health Teaching via Pamphlet on Neonate Care of New Immigrant mothers
指導教授:樓美玲樓美玲引用關係
指導教授(外文):Mei-Ling Lou
學位類別:碩士
校院名稱:弘光科技大學
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
畢業學年度:100
語文別:中文
論文頁數:88
中文關鍵詞:多媒體光碟衛教新生兒照顧新住民產婦
外文關鍵詞:Multimedia videodisc health teachingNeonate careNew immigrant mothers
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本研究主要目的是在運用多媒體光碟合併衛教手冊方式指導新住民產婦在照顧新生兒的成效(包括新生兒照顧知識、新生兒照顧態度及新生兒照顧技能)。本研究採類實驗設計,實驗組針對新住民初產婦以多媒體光碟合併衛教手冊方式進行新生兒沐浴及母乳哺餵指導;對照組以衛教手冊方式進行新生兒沐浴及母乳哺餵指導;共取得實驗組20人、對照組20人之新住民初產婦;以結構式問卷透過面對面訪談方式及實際觀察新住民產婦執行新生兒沐浴及母乳哺餵技能等方式進行資料收集。研究資料分析以次數分配、百分比、平均值、標準差、卡方檢定(Chi-square)、獨立樣本 t 檢定、配對樣本 t 檢定等統計方法進行檢定。
研究結果包括:1.實驗組在新生兒照顧知識成效上達統計上之顯著水準。2.實驗組在新生兒照顧態度成效上趨於正向,有顯著之提升,達統計上之顯著水準。3.實驗組在新生兒沐浴及新生兒母乳哺餵技能成效與對照組相同,未達統計上之顯著水準。由上述得知,新住民初產婦經多媒體光碟合併衛教手冊方式介入後在新生兒照顧知識、態度及技能成效優異;建議可運用於產後之臨床照護,以多媒體光碟合併衛教手冊方式衛教產婦,讓護理發揮更大的功效。期望藉此研究成果能促進新住民產婦之新生兒照顧能力及品質。

Transnational marriages have become a global social phenomenon, and in Taiwan, the birth rate among female new residents has increased to 7.8% in 2011. It is therefore wise to pay attention to neonatal care. The objective of this study is to understand the effect of the Multimedia Videodisc Health Teaching via Pamphlet on Neonate Care of New Immigrant mothers. We used a quasi-experimental design; in the experimental group we used a multimedia videodisc health teaching via pamphlet teach women how to bathe and breastfeed their newborn, while in the control group we just used an education guide. There were a total of 40 subjects, and data collection took place by means of three different scales that measured knowledge of, attitude towards and skills in neonatal care.
Results: 1. In the experimental group, there was a significant effect with regard to knowledge of neonatal care. 2. In the experimental group, there was a significant effect with regard to attitude towards neonatal care. 3. The effect on bathing and breastfeeding skills was the same in the experimental and control group, there was no significant difference. This tells us that using a multimedia videodisc health teaching via pamphlet to instruct new immigrant mothers has great effect on their knowledge of, attitude towards and skills in neonatal care. We therefore suggest to use this method in postpartum clinical care, so as to enhance female new residents’ ability and quality of neonatal care.

目 錄
致謝 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅰ
中文摘要 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅱ
英文摘要 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅲ
目錄 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅳ
正文目錄 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅴ
表目錄 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅶ
圖目錄 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅷ
附錄目錄 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ Ⅸ

正 文 目 錄
第壹章 緒論 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 01
第一節、研究動機及重要性 ‥‥‥‥‥‥‥‥‥‥‥ 01
第二節、研究目的 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 03
第三節、研究問題 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 04
第四節、研究假設 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 05
第五節、名詞釋義 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 06
第貳章 文獻查證 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 08
第一節、新住民產婦生產概況 ‥‥‥‥‥‥‥‥‥‥ 08
第二節、新生兒照顧需求 ‥‥‥‥‥‥‥‥‥‥‥‥ 10
第三節、影響新住民產婦對新生兒照顧行為相關因素 14
第四節、多媒體光碟衛教的運用成效 ‥‥‥‥‥‥‥ 15
第叁章 研究方法與研究過程 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 19
第一節、研究概念架構 ‥‥‥‥‥‥‥‥‥‥‥‥‥ 19
第二節、研究設計 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 21
第三節、研究對象及場所 ‥‥‥‥‥‥‥‥‥‥‥‥ 23
第四節、介入措施 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 24
第五節、研究工具 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 27
第六節、資料處理與分析 ‥‥‥‥‥‥‥‥‥‥‥‥ 34
第七節、研究步驟 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 35
第八節、研究倫理考量 ‥‥‥‥‥‥‥‥‥‥‥‥‥ 37
第肆章 研究結果 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 38
第一節、研究對象之基本人口學資料 ‥‥‥‥‥‥ 38
第二節、新住民產婦在新生兒照顧知識之前測狀況 ‥ 41
第三節、新住民產婦在新生兒照顧態度之前測狀況 ‥ 44
第四節、多媒體光碟合併衛教手冊方式在新生兒照顧知識之成效47
第五節、多媒體光碟合併衛教手冊方式在新生兒照顧態度之成效50
第六節、多媒體光碟合併衛教手冊方式在新生兒照顧技能之成效53
第七節、新住民產婦返家後執行新生兒沐浴及母乳哺餵技能之電
話訪談結果 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 55
第伍章 討論 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 57
第一節、研究對象之基本人口學資料分析 ‥‥‥‥‥‥‥ 57
第二節、新住民產婦在新生兒照顧知識、態度之現況 ‥‥ 58
第三節、多媒體光碟合併衛教手冊方式對新住民產婦在新生兒照顧
知識、態度、技能之成效 ‥‥‥‥‥‥‥‥60
第陸章 結論 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 63
第柒章 建議與限制 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 64

參考文獻 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ 66
中文部分 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 66
英文部分 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 74

表 目 錄
表一 運用多媒體光碟方式衛教之相關研究 ‥‥‥‥‥‥‥ 16
表二 研究設計 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 22
表三 新生兒照顧影片內容 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 25
表四 認識哺乳影片內容 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 26
表五 研究工具量表之專家內容效度 ‥‥‥‥‥‥‥‥‥‥ 31
表六 問卷信度之內容一致性檢測結果 ‥‥‥‥‥‥‥‥‥ 33
表七 資料分析項目與統計方法 ‥‥‥‥‥‥‥‥‥‥‥‥ 34
表八 研究對象之基本人口學分佈情形 ‥‥‥‥‥‥‥‥‥ 40
表九 新住民產婦在新生兒照顧知識之前測得分與排名情形 42
表十 實驗組與對照組新生兒照顧知識前測得分情形 ‥‥ 43
表十一 新住民產婦在新生兒照顧態度之前測得分與排名情形 45
表十二 實驗組與對照組新生兒照顧態度前測得分情形 ‥‥ 46
表十三 實驗組與對照組新生兒照顧知識前後測得分情形 ‥ 49
表十四 實驗組與對照組新生兒照顧態度前後測得分情形 ‥ 52
表十五 實驗組與對照組新生兒照顧技能得分情形 ‥‥‥‥ 54
表十六 返家後執行新生兒沐浴及母乳哺餵技能之電話訪談結果56

圖 目 錄
圖一 研究架構圖 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 20
圖二 研究步驟 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 36

附 錄 目 錄
附錄一 多媒體衛教光碟用於衛教使用同意書 ‥‥‥‥‥‥ 76
附錄二 質性訪談指引 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 77
附錄三 研究同意書 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 78
附錄四 受訪者基本資料 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 79
附錄五 新生兒照顧知識量表 ‥‥‥‥‥‥‥‥‥‥‥‥‥ 80
附錄六 新生兒照顧態度量表 ‥‥‥‥‥‥‥‥‥‥‥‥‥ 81
附錄七 新生兒沐浴技能評量表 ‥‥‥‥‥‥‥‥‥‥‥‥ 82
附錄八 新生兒母乳哺餵技能評量表 ‥‥‥‥‥‥‥‥‥‥ 83
附錄九 專家效度名單 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 84
附錄十 專家建議 ‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥‥ 85
附錄十一 人體試驗計畫核准書 ‥‥‥‥‥‥‥‥‥‥‥‥‥ 88
一、中文部分:
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葉娜娸(2005).多媒體照顧指導方案對早產兒母親照顧知識、照顧能力及母育信心之成效研究(未發表的碩士論文).台北:國防大學。〔Yeh, N. C. (2005). Effects of Multimedia Nursing Intervention on the Knowledge, Competence and Confidence of Mothers with Preterm Infants (Unpublished master’s thesis). National Defense University, Taoyuan County, Taiwan, ROC.〕
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廖建彰、詹婉瑜(2005).東南亞籍與大陸女性配偶生活健康關注.慈濟護理雜誌,4(1),12-16。〔Liao, C. C., & Chan, W. Y. (2005). Concerns over the Life and Health of Alien Brides from Southeastern Asia and Mainland China. Tzu Chi Nursing Journal, 4(1), 12-16.〕
劉美芳、李慈音(2009).新生兒臍帶護理的迷思.護理雜誌,56(5),80-86。〔Liu, M. F., & Lee, T. Y. (2009). Myth of Neonatal Umbilical Cord Care. The Journal of Nursing, 56(5), 80-86.〕
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蔡照文、駱淑卿、陳自立(2000).衛教對哺餵母乳之自信與滿意度之影響.美和技術學院學報,18,93-102。〔Tsai, C. W., Lo, S. C., & Chern, T. L. (2000). The Effects of the Education Program toward Mother's Breastfeeding Confidence and Satisfaction. Journal of Mei Ho Institute of Technology, 18, 93-102.〕
黎小娟、張淑文(2011).新生兒護理技術.於李淑杏等作.產兒科護理技術(三版,141-166).台北:華杏。〔Li, H. J., & Chang, S. W. (2011). The Skills of Newborns Nursing. In Lee, S. H (Ed.), The Skills of Obstetric and Pediatric Nursing (3th ed., pp. 141-166). Taipei, Taiwan, ROC: Farseeing.〕
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Valdres, R. L., Escalante, C., & Manzullo, E. (2001). Fatigue: A debilitating symptom. Nursing Clinics of North America, 36(4), 685-694.
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1. 王宏仁(2001).社會階層化下的婚姻移民與國內勞動市場:以越南新娘為例.台灣社會研究季刊,41,99-127。〔Wang, H. Z. (2001). Social Stratification, Vietnamese Partners Migration and Taiwan Labour Market. Taiwan: A Radical Quarterly in Social Studies, 41, 99-127.〕
2. 王秀紅、楊詠梅(2002).東南亞跨國婚姻婦女的健康.護理雜誌,49(2),35-41。〔Wang, H. H., & Yang, Y. M., (2002). The Health of Southeast Asian Women in Transnational Marriages in Taiwan. The Journal of Nursing, 49(2), 35-41.〕
3. 余姿慧;林耀豐(2009).背景干擾對技能表現影響之探討.中華體育季刊,23(2),75 -83。
4. 李慧貞、蘇秀娟、許芷音(2004).外籍新娘的健康評估-以新店市為例.護理雜誌,51(4),88-93。〔Lee, H. C., Su, H. C., & Shin, C. Y. (2004). An Assessment of the Health of Foreign Brides in Hsin-Tien County. The Journal of Nursing, 51(4), 88-93.〕
5. 周美珍(2001).新竹縣外籍新娘生育狀況探討.公共衛生,28(3),255-265。〔Zhou, M. Z. (2001). A Descriptive Study on Family Planning Case Management for Foreign Brides in Hsin-Chu County. Journal of Public Health, 28(3), 255-265.〕
6. 林晶晶、陳淑賢(2007).護理指導對外籍配偶的哺乳型態、哺餵母乳知識及態度之成效探討.實證護理,3(2),161-169。〔Lin, C. C., & Chen, S.H. (2007). The Effects of Nursing Guidance on the Breastfeeding Patterns, Knowledge and Attitudes of Foreign Spouses. Journal of Evidence-Based Nursing, 3(2), 161-169.〕
7. 洪麗嬌(1997).初產婦產後對衛生指導的主觀需求及態度之探討.國立台北護理學院學報,5,1-27。〔Hung, L. C. (1997). A Study of the Individual Needs and Attitude of Health Education on the Primipara Mothers during Hospitalization. Journal of National Taipei College of Nursing,5 , 1-27.〕
8. 張襄琴、李孟穎、李秀惠、張瑩如(2004).產前嬰兒哺餵方式決策之相關因素探討.新臺北護理期刊,6(1),69-77。〔Chang, S. C., Li, M. Y., Li, S. H., & Chang, Y. J. (2004). Factors Associated with Maternal Choice of Feeding Methods for the Newborn During the Antepartum Period. New Taipei Journal of Nursing,
9. 陳昭惠(2008).國內母乳哺育諮詢綱絡之推展.醫療品質雜誌,2(4),30-34。〔Chen, C. H. (2008). Department of Breast Feeding in Taiwan. Journal of Healthcare Quality,2(4), 30-34.〕
10. 陳秋美、柯淑華(2001).比較不同生產方式之初產婦於產後初期的關注與衛教需求.弘光學報,38,11-21。〔Chen, C. M., & Ko, S. H. (2001). Comparison of the Primiparas' Concerns and Knowledge Needs During the Early Postpartum between the Different Mode of Delivery. Bulletin on Hungkuang Institute of Techn
11. 陳秋美、柯淑華、洪明玉(1999).初產婦於產後初期的關注與衛教需求之現況分析.弘光學報,34,223-245。〔Chen, C. M., Hung, M. Y. & Ko, S. H. (1999). A Study for Present Situation of Primiparas' Concerns and Knowledge Needs During the Early Postpartum. Bulletin on Hungkuang Institute of Technology, 34,
12. 楊玉娥、陳彰惠(1995).由胎次及時間序列探討產婦於產褥期之衛教需求.高雄醫學雜誌,11,353-358。〔Yang, Y. O., & Chen, C. H., (1995). Longitudinal Study of Postpartum Women Knowledge Needs-Parity and Time Series Perspectives. The Kaohsiung Journal of Medical Sciences, 11, 353-358.〕
13. 廖建彰、詹婉瑜(2005).東南亞籍與大陸女性配偶生活健康關注.慈濟護理雜誌,4(1),12-16。〔Liao, C. C., & Chan, W. Y. (2005). Concerns over the Life and Health of Alien Brides from Southeastern Asia and Mainland China. Tzu Chi Nursing Journal, 4(1), 12-16.〕
14. 劉美芳、李慈音(2009).新生兒臍帶護理的迷思.護理雜誌,56(5),80-86。〔Liu, M. F., & Lee, T. Y. (2009). Myth of Neonatal Umbilical Cord Care. The Journal of Nursing, 56(5), 80-86.〕
15. 蔡照文、駱淑卿、陳自立(2000).衛教對哺餵母乳之自信與滿意度之影響.美和技術學院學報,18,93-102。〔Tsai, C. W., Lo, S. C., & Chern, T. L. (2000). The Effects of the Education Program toward Mother's Breastfeeding Confidence and Satisfaction. Journal of Mei Ho Institute of Technology, 18, 93-102.〕