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研究生:陳素秋
研究生(外文):Chen, Su-Chiu
論文名稱:剖腹產初產婦於產後初期母乳哺餵的經驗感受
論文名稱(外文):Women’s Experience of Breastfeeding during the Early Postpartum Period by Cesarean Section
指導教授:陳淑齡陳淑齡引用關係
指導教授(外文):Chen,Shu-Ling
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:167
中文關鍵詞:初產婦剖腹產母乳哺餵經驗感受質性研究
外文關鍵詞:primiparacesarean sectionbreastfeedingexperiencequalitative study
相關次數:
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本研究主要目的在探討剖腹產初產婦於產後初期母乳哺餵的經驗感受,
採質性研究中的田野研究法進行資料收集,研究者以護理人員的身分參與產
婦產後第一天及第二天直接照護並與建立信任關係,產後第三天至第六天協
助產後指導及觀察哺乳過程,出院後於產後第八天進行電訪關心哺乳狀況,
產後第九天和產後第十四天進行家訪並給予45-60 分深入訪談,共訪談10 位
剖腹產之初產婦,研究發現其經驗感受有五類:1. 囿於身體不適難掌控哺乳;
2.質疑自己是否能勝任哺乳;3. 試著尋求解決哺乳之困境;4. 維持哺乳之動
力源;5. 體悟初為人母之成就。本研究結果可讓我們更深入理解剖腹產產後
初期哺乳經驗與感受,可作為婦產科護理人員實際照顧剖腹產產婦哺乳時之參
考以減少剖腹產新手媽媽產後哺乳困境。
The aim of this study was to explore the women’s experience of breastfeeding with cesarean section during the early postpartum period. This qualitative study was designed by adopting field method. The researcher served as a care-giver and a nurse-participant observer to each
woman from the operation day to the fourteenth day after cesarean section, and conducted 45-60 minutes in-depth interviews on the ninth and the fourteenth day. By means of content analysis, the verbal behaviors of women were systematically analyzed and categorized. Data were collected from 10 women who experience a cesarean delivery. The results included five categories: (1) suffering discomfort and being hard to breastfeed; (2)doubting and questioning her competence for breastfeeding; (3) trying to
search for help and slove the breastfeeding problem herself; (4) maintaining breastfeeding’s motivation; (5) experiencing an achievement of being a mother. The findings of this study provide a deeper understanding of
breastfeeding experiences and feelings with cesarean section in early postpartum period. In addition, these findings can be incorporated as a valuable reference into educational programs, and enhance the quality of
breastfeeding.
目錄
致謝詞 .............................. I
中文摘要 ............................. III
英文摘要 .................................... IV
目錄 .................................... V
表目錄..................................VIII
圖目錄 .................................. IX
第一章 緒論..................................
第一節 研究動機與重要性 .................... 1
第二節 研究問題 .................................. 4
第三節 名詞界定 ................................... 5
第二章 文獻探討 .................................
第一節 剖腹產對產婦生理和心理影響.............. 6
第二節 剖腹產產後初期常見哺乳問題以及影響因素 .....
一、剖腹產產後初期常見哺乳問題.............
8
. 二、剖腹產後初期影響哺乳的因素............
3
第三節 產後婦女之哺乳經驗 .............. 15
第四節 產後母職角色與哺餵母乳關係 ........... 23
第三章 研究方法 .....................
第一節 研究設計 ............................ 26
第二節 研究對象 ............................. 27
第三節 研究情境 .................... 28
第四節 研究資料收集 .................... 31
第五節 研究倫理 ..................... 43
第六節 研究資料收集分析 ................... 44
第七節 研究資料分析之嚴謹度 ...................
45
第四章 研究結果 ......................
第一節 研究對項基本資料 ....................... 48
第二節 初產婦剖腹產產後初期之哺乳經驗感受
(一) 囿於身體不適難掌控哺乳................. 51
(二) 質疑自己是否能勝任哺乳........... 60
(三)試著尋求協助至自我疏乳................. 69
(四)維持哺乳之動力源................. 76
(五)體悟初為人母之成就................ 86
第五章 討論...........
第一節 初產婦剖腹產產後初期之哺乳經驗感受........... 96
第二節 研究結果之討論................ 101
第三節 研究方法之比較................ 107
第六章 結論與建議 ....................
第一節 研究結論 ....................... 112
第二節 結果應用....................
一、臨床實務的應用.................... 124
二、護理教育上應用.................... 125
三、護理研究上的應用..................... 126
第七章 研究限制與未來研究建議......................
一、研究限制...................... 127
二、 後續研究的建議...................... 129
參考文獻 ............................
中文文獻.......................... 132
英文文獻.......................... 137
附錄...........................
附錄一 問卷研究受訪者同意書...................... 151
附錄二 正式訪談(Preliminary Study)訪談指引........ 155
附錄三 訪談實例及內容分析 ...................... 156
附錄四 人體試驗委員會試驗同意書 ....... 166
表目錄
表一 依年代順序呈現剖腹產與哺餵母乳之相關研究........ 10
表二 哺餵母乳經驗之相關性研究............... 17
表三 受訪者的基本資料.................... 50
表四 剖腹產產後初期之哺乳經驗感受分析表............... 95
表五 研究結果與自然生產哺乳經驗相比較.............. 106
表六 研究結果與剖腹生產研究相比較.............. 111
圖目錄
圖一 資料收集流程圖........ 41
圖二 本研究之研究步驟............... 42
圖三 剖腹產初產婦哺乳經驗感受圖............... 100
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