本研究旨在探討衛生單位女性員工於職場持續哺餵母乳的相關因素與其預測因子，以及衛生單位哺(集)乳室的設置與使用情形，採橫斷式研究設計，於高雄市、台南市與台中市政府衛生局與所轄衛生所取樣，選取於2008 年1月至2011 年1月期間生產並且復職的現職女性員工共120位為研究對象。研究工具採結構式問卷，包括個人屬性資料表、哺乳信心量表、職場哺(集)乳室設置調查表、職場哺(集)乳室使用滿意度調查表以及職場母乳哺餵支持度量表。
研究結果發現：衛生單位的女性員工產後持續哺餵母乳時間平均月數為10.71個月(±7.33)，其中以持續哺乳至寶寶七個月至一歲者最多，佔40.0%。持續哺餵母乳的方式以配方奶添加粥，或其他食物居多，佔48.3%。67.5%女性員工知道法令明定職業婦女每日有兩次，每次三十分鐘的哺乳時間。100%女性員工表示職場設有哺(集)乳室可以增強其持續哺餵母乳的意願。衛生單位的哺(集)乳室98.4%為開放使用，75.8%為獨立空間，目前最缺乏的法定設備為：緊急求救鈴或其他求救設施、有蓋垃圾桶、洗手設施。衛生單位女性員工的哺乳信心程度愈高，有哺乳經驗者，工作單位有哺(集)乳室，感受職場母乳哺餵的支持度愈高，其持續哺餵母乳的時間愈長。而且，本研究發現哺乳信心是衛生單位女性員工持續哺餵母乳的重要預測因子。
本研究結果可作為政府推動友善職場母乳哺餵環境，建立職場支持系統，鼓勵職業婦女持續哺餵母乳政策之參考。

The purpose of this study was to explore associated factors and predicators of continuous breastfeeding for female employees who worked in the government department of health. The study used a descriptive correlation research design and participants were recruited from the departments of health and local public health centers of Kaohsiung City, Tainan City, and Taichung City Government. A total of 120 female employees who resumed work after childbirth from January, 2008 to January, 2011 were invited to participate in the study. The structured questionnaires, including the Demographic Inventory Scale, Breastfeeding Confidence Scale, Workplace Breastfeeding Support Scale, Workplace Breastfeeding Room Inventory Scale, and Workplace Breastfeeding Room User’s Satisfaction Scale were used in this study.
The study results showed that the mean month for the continuous breastfeeding of participants was 10.71 ± 7.33, and most of them (40.0%) continued breastfeeding their babies until baby was the 7th month to first year birthday. Most of their presently feeding method was formula with rice porridge or other foods (48.3%). About 67.5% women expressed that they were aware of the law for providing two 30-minute breastfeeding breaks everyday for working women. All participants agreed that the setting up of a breastfeeding room at the workplace could reinforce their desire to continue breastfeeding. The breastfeeding rooms in government department of health were open for public use or were private were 98.4% and 75.8% respectively. The needed equipments in the breastfeeding rooms were emergency button or other emergency facilities, covered trash can and hand washing facilities. Female employees who had greater confidence of breastfeeding and more breastfeeding experience, whose workplace had a breastfeeding room, who felt greater support of breastfeeding at the workplace would have longer continuous breastfeeding period than their opponents. Furthermore, the results showed that women’s breastfeeding confidence was significant predictors for their continuing breastfeeding.
The results of this study could serve as a reference for the government in promoting breastfeeding-friendly environment at workplace, constructing the workplace support system, and formulating policy to encourage working women to continue breastfeeding.

致謝 Ⅰ
中文摘要Ⅳ
英文摘要Ⅵ
目錄Ⅷ
圖表目錄Ⅹ
第一章緒論1
第一節研究動機與重要性1
第二節研究目的4
第三節研究問題5
第四節研究假設5
第五節名詞界定6
第二章文獻查證9
第一節哺餵母乳的重要性9
第二節職業婦女於職場哺餵母乳的好處11
第三節個人屬性與持續哺餵母乳情形之相關性11
第四節哺乳信心與持續哺餵母乳之相關性 12
第五節職場哺餵母乳環境與持續哺餵母乳之相關性12
第六節國內機構設置哺集乳室的使用情形與滿意度15
第七節研究架構16
第三章研究方法17
第一節研究設計17
第二節研究對象17
第三節研究工具18
第四節研究步驟22
第五節資料分析22
第六節倫理考量24
第四章研究結果25
第一節受試者屬性25
第二節哺乳信心程度的得分情形29
第三節職場哺(集)乳室設置與使用情形30
第四節職場母乳哺餵的支持度得分情形38
第五節職場哺(集)乳室的使用滿意度得分情形40
第六節個人屬性與其持續哺餵母乳時間之關係42
第七節哺乳信心與其持續哺餵母乳時間之關係43
第八節職場哺餵母乳環境與女性員工持續哺餵母乳時間之關係43
第九節衛生單位的女性員工持續哺餵母乳的重要預測因子44
第五章討論46
第一節衛生單位女性員工個人屬性與其持續哺餵母乳時間之關係46
第二節哺乳信心與其持續哺餵母乳時間之關係47
第三節職場哺(集)乳室設置與女性員工持續哺餵母乳時間之關係48
第四節職場哺(集)乳室使用滿意度與女性員工持續哺餵母乳時間之關係49
第五節職場母乳哺餵支持度與女性員工持續哺餵母乳時間之關係52
第六節衛生單位的哺(集)乳室設置與使用情形55
第七節衛生單位女性員工持續哺餵母乳時間與哺餵方式之現況60
第八節衛生單位的女性員工持續哺餵母乳時間之重要預測因子62
第六章結論與建議63
第一節結論63
第二節建議65
第三節研究限制67
參考文獻69
附錄78
附件一專家內容效度名單78
附件二研究問卷79
附件三問卷同意書86
附件四人體試驗委員會同意函87

圖表目錄
圖一研究架構16
表一各量表之專家內容效度檢定21
表二各量表之信度檢定22
表三受試者屬性27
表四哺乳信心程度得分情形29
表五衛生單位之哺(集)乳室現況調查31
表六受試者任職單位是否設置哺(集)乳室與哺乳意願調查31
表七衛生單位的哺(集)乳室設置情形調查34
表八衛生單位女性員工於上班時間的集乳地點調查37
表九職場母乳哺餵的支持度量表得分情形39
表十職場哺(集)乳室的使用滿意度量表得分情形40
表十一對哺(集)乳室的其他建議41
表十二衛生單位女性員工個人屬性與其持續哺餵母乳時間之關係42
表十三衛生單位女性員工哺乳信心與其持續哺餵母乳時間之關係43
表十四衛生單位的母乳哺餵環境與女性員工持續哺餵母乳時間之關係44
表十五持續哺餵母乳時間之各變項的共線性診斷45
表十六持續哺餵母乳時間的逐步複迴歸分析45

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