初產婦母乳哺餵行為及相關因素之探討

論文名稱(中/英文)	研究生	指導教授
初產婦母乳哺餵行為及相關因素之探討 The Associated Factors of Breastfeeding Behavior in Primiparas	李鳳雪	高毓秀博士
[ 摘要 ]
本研究旨在探討初產婦之母乳哺餵經驗、母乳哺餵自我效能、母乳哺餵社會支持及產後一個月母乳哺餵行為的現況，以及影響初產婦母乳哺餵行為的相關因素。立意取樣台北市兩所醫學中心產後病房生產、無母嬰合併症的初產婦為研究對象。研究工具包括個人基本資料、母乳哺餵經驗量表、母乳哺餵自我效能量表及母乳哺餵社會支持量表。於產後出院前一天填寫問卷，並於產後一個月電話追蹤哺乳方式，共得有效問卷181份。以次數分佈、百分率、平均值、標準差、t-test、卡方、one-way ANOVA及邏輯迴歸等統計方法分析資料。研究發現：初產婦在產後住院期間呈現中下程度的母乳哺餵問題，具有中上程度的母乳哺餵信心及中上程度的母乳哺餵社會支持，純母乳哺餵率由住院期間的42.0％至產後一個月降為35.9％。住院期間母嬰同室、預計母乳哺餵至產後1或2年、採純母乳哺餵方式、母乳哺餵自我效能較高、先生及親朋好友母乳哺餵社會支持較高之初產婦，產後一個月較多採取純母乳哺餵行為。住院期間採純母乳哺餵方式、母乳哺餵自我效能得分高者、先生及親朋好友母乳哺餵社會支持得分高者為產後一個月母乳哺餵行為的重要預測因子。本研究之結果可作為護理人員母乳哺餵在職教育及臨床照護孕產婦母乳哺餵衛教之參考，以期提升產婦母乳哺餵率及提高產科護理品質。
[ Abstract ]
This study aimed to survey breastfeeding experience, breastfeeding self-efficacy, breastfeeding social support and one month postpartum breastfeeding behavior in primiparous women as well as associated factors which influence the breastfeeding behavior of primiparous women. Participants in this study were primiparous women who experienced no mother-infant complications during their hospital stay in the maternity wards of two medical centers in Taipei. The women completed a self-administered questionnaire one day before they were discharged from the maternity ward, and telephone interviews were conducted at one month postpartum to assess breastfeeding methods. In total, there were 181 usable samples returned which were analyzed using a variety of statistical analysis including distribution, percentages, average values, standard deviation, t-test, one-way ANOVA and logistic regression analysis. Findings of the study revealed primipara suffering low-mid level breastfeeding problems, having mid-high level breastfeeding confidence, and having mid-high level breastfeeding social support. A relatively large number of primipara who breastfed exclusively one month postpartum rooming-in, intended to breastfeed one to two years postpartum, utilized breastfeeding exclusively, achieved greater breastfeeding self-efficacy, and received higher breastfeeding social support of the father, friends and family . Exclusive breastfeeding rates declined from 42.0％ in hospital to 35.9％ at one month postpartum. Logistic regression analysis revealed that breastfeeding exclusively while in hospital, higher breastfeeding self-efficacy scores and higher breastfeeding social support scores of the father, friends and family are significant predictors of breastfeeding behavior at one month postpartum. The results of this study can serve as a reference for on-the-job education about breastfeeding for nurse practitioners and could help to increase the rates and efficacy of breastfeeding in mothers who have given birth.