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研究生:彭築茜
研究生(外文):Peng, Ju-Chian
論文名稱:探討早產兒母親育兒健康識能之研究-以自我效能及問題解決為中介變項
論文名稱(外文):A study of the parental health literacy of the mothers with preterm infants-Self efficacy and problem solving as mediators
指導教授:郭鐘隆郭鐘隆引用關係
指導教授(外文):Guo, Jong-Long
學位類別:碩士
校院名稱:國立臺灣師範大學
系所名稱:健康促進與衛生教育學系
學門:教育學門
學類:專業科目教育學類
論文出版年:2021
畢業學年度:109
語文別:中文
論文頁數:127
中文關鍵詞:早產兒早產兒母親健康識能自我效能問題解決
外文關鍵詞:Premature Infantmothers of premature infanthealth literacyself efficacyproblem solving
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目的:為瞭解早產兒母親背景變項對於自我效能、問題解決、健康識能之現況及影響,並探討自我效能與問題解決對於早產兒母親背景變項與健康識能作為中介變項的可能性。
方法:立意取樣北部某醫學中心之新生兒加護病房以及新生兒中重度病房,早產兒母親為研究對象,共113位參與。資料以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森相關及多元階層迴歸等統計方法進行分析。
結果:(1)研究對象以早產兒母親為主要照顧者,發現約35歲以上已婚(占9成)居多,教育程度大學以上占8成左右,家管占2成,第一次懷孕占6成,採剖腹產占8成,配偶占9成為最大支持者,育兒知識來源為育兒書籍/雜誌/網站最多,早產兒以男生居多(占5成),多胞胎近6成,出生週數以34-36週最多占6成。(2)本研究量表採用百分等第分法,整體來看早產兒母親自我效能、問題解決、健康識能各層面之得分分別為74.71%、70.35%、83.87%。(3)多元階層迴歸結果模式可解釋量達到29.1% (F=4.541, p<.001),即對早產兒母親的健康識能具統計顯著影響。
結論:(1)早產兒母親背景變項對健康識能有顯著正向影響﹔(2)早產兒母親背景變項對自我效能與問題解決有顯著正向影響﹔(3)自我效能與問題解決對健康識能有顯著正向影響﹔(4)自我效能與問題解決在早產兒母親背景變項與健康識能間沒有證據顯示有中介效果。
希望本研究之結果可以喚起研究者和臨床工作者,作為未來對於早產兒母親自我效能、問題解決和健康素養能力之重視。
Aims: To explore the sociodemographic variables of preterm infants’ mothers on self-efficacy, problem solving, and health literacy and the possibility of self-efficacy and problem solving as mediating variables between demographic variables and health literacy.
Methods: purposive sampling was used in the neonatal intensive care unit and intermediate care nursery of a medical center in the northern Taiwan. A total of 113 mothers with preterm infants were recruited. A cross-sectional questionnaire was administered when the participants stayed at the medical center. The data were analyzed by descriptive statistics, independent t-test, one-way analysis of variance (ANOVA), Pearson correlation and multiple hierarchical regression.
Results: Approximately 80% of participants were working women, with college education and had a Cesarean section. 90% of them were married, over 35 years old and their spouses were the most important supporters. 60% of the participants were the first-time pregnancy. Participants’ parenting knowledge sources are parenting books/magazines/websites. Approximately 50% of their preterm children were boys. Multiple births and 34-36 weeks gestation (GA) of preterm children were approximately 60%. If the score of each scale is converted into a percentile ranking, the scores of self-efficacy, problem solving, and health literacy of mothers of premature infants were 74.71%, 70.35%, and 83.87%, respectively. Multiple hierarchical regression model could explain 29.1% of the total variance (F = 4.541, p <.001), which indicated that the significant variables such as marital and occupational status, spouse’ support and self-efficacy were statistically significant on the health literacy of participants.
Conclusion: Some of Participants’ sociodemographic variables were significant predictors on their health literacy, self-efficacy and problem solving. In addition, self-efficacy and problem solving were significant predictors on participants’ health literacy. However, self-efficacy and problem solving did not reveal a mediation effects between participants’ sociodemographic variables and health literacy. It is critical for researchers and practitioners to pay attention to health literacy, self-efficacy and problem solving of the mothers with preterm infants.
第一章 緒論 1
第一節 研究動機及重要性 1
第二節 研究目的 3
第三節 名詞解釋 4

第二章 文獻探討 7
第一節 早產兒相關之概述 7
第二節 自我效能之概述及其應用 12
第三節 問題解決之概述及其應用 17
第四節 早產兒母親育兒健康識能及其應用 22
第五節 自我效能、問題解決與健康識能之相關研究 26

第三章 研究方法 31
第一節 研究架構 31
第二節 研究對象及場所 32
第三節 研究工具 33
第四節 研究步驟 39
第五節 資料處理與統計分析 41

第四章 研究結果 51
第一節 研究對象背景變項之現況分析 52
第二節 自我效能、問題解決、健康識能之現況分析 57
第三節 自我效能、問題解決、健康識能之差異分析 59
第四節 自我效能、問題解決、健康識能之相關係數分析 86
第五節 自我效能、問題解決、健康識能之迴歸分析 87

第五章 討論與建議 95
第一節 結論與討論 95
第二節 研究貢獻 98
第三節 研究限制 99
第四節 建議 101

參考文獻 104
一、中文部分 104
二、英文部分 108
附錄1 基本屬性 118
附錄2 自我效能量表使用同意書 123
附錄3 問題解決使用同意書 124
附錄4 人體試驗倫理委員會臨床試驗同意證明書 125
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