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系統識別號 U0026-2102201808472000
論文名稱(中文) 體重與哺乳經驗、哺乳自我效能及哺餵母乳行為之相關性研究
論文名稱(英文) The Relationships of Body Weight, Breastfeeding Experience, Breastfeeding Self-efficacy and Breastfeeding Behavior.
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 106
學期 1
出版年 107
研究生(中文) 洪妍慧
研究生(英文) Yen-Hui Hung
學號 T26021102
學位類別 碩士
語文別 中文
論文頁數 69頁
口試委員 指導教授-許玉雲
召集委員-馬瀰嘉
口試委員-葉錦雪
中文關鍵字 體重  母乳哺餵經驗  母乳哺餵自我效能  母乳哺餵行為 
英文關鍵字 Body Weight  Breastfeeding Experience  Breastfeeding Self-efficacy  Breastfeeding behavior 
學科別分類
中文摘要 研究目的:本研究旨在比較不同體重對產後2-3天及產後1個月之哺餵母乳經驗、母乳哺餵自我效能及哺餵行為之差異性,以及影響母乳哺餵行為之預測因子。
研究方法: 本研究為一追蹤性研究設計,以產後進行母乳哺餵和無母嬰合併症產婦為研究對象。採方便取樣,於台南市某教學區域醫院婦產科病房進行收案。以孕期初期所測身體質量指數(BMI)為產婦體重指標。研究工具包括: 個人基本資料母乳哺餵經驗、母乳哺餵自我效能及哺餵母乳行為量表。於產後2-3天填寫問卷,並於產後一個月電話或郵寄方式追蹤哺乳方式。研究結果:本研究共收案120份產後婦女,其平均年齡為31.9歲(SD=4.0)。正常體重婦女佔49% (n=52)、過重佔28% (n=33)、肥胖佔23% (n=28%)。 孕期初期不同體重婦女(正常、過重、肥胖)在年齡、教育程度、產前參於哺乳課程、親子同室、產後是否要工作、哺餵方式、預期哺餵母乳時間沒有顯著差異,但剖腹產生產方式在過重婦女生產方式較多。不同體重婦女在母乳哺餵經驗、母乳哺餵自我效能沒有統計上顯著差異。哺餵母乳行為中,產後一個月較產後2-3天純母乳哺餵率增加13.34%,混合哺餵率減少21.67%,配方奶哺餵增加8.33%。然不同體重婦女在產後2-3天及產後一個月哺餵行為比較,在統計上沒有顯著差異。產後2-3天哺餵行為,預測因子為產後2-3天母乳哺餵經驗與哺餵自我效能。產後1個月母乳哺餵行為的預測因子為產後2-3天母乳哺餵經驗、自我效能、哺乳行為,以及產後一個月哺乳自我效能。
結論: 婦女體重不會影響其產後母乳哺餵經驗、母乳哺餵自我效能、和母乳哺餵行為。母乳哺餵自我效能和母乳哺餵經驗是影響產後哺乳行為重要因子。臨床上可舉辦產前和產後哺乳教室,分享哺乳經驗及增強婦女母乳哺餵信心,以提升母乳哺餵行為。
英文摘要 Purpose: The objectives of this study was to compare the breastfeeding experience, breastfeeding self-efficacy, the difference of feeding behavior and the predictors of breastfeeding behavior among different body weight women at 2-3 days postpartum and one-month postpartum period.
Methods: The study sample included postpartum women with and without breastfeeding by using a follow up design design. Participants were selected using the convenient sampling method in postpartum patient care word at a regional teaching hospital in Southern Taiwan. Body Mass Index (BMI) was adopted as the maternal indicator during early pregnancy. Research instruments included biological information, breastfeeding experience, breastfeeding self-efficacy and breastfeeding behavior scale. These data were collected by questionnaire at 2-3 days postpartum and tracking by phone or mail at one month postpartum.
Results: A total 120 postpartum women were recruited in this study, with an average age of 31.9 years old (SD=4.0), women with normal weight was about 49% (n=59), overweight at 28% (n=33), obesity at 23% (n=28%). There were no significant differences between ages, education level, prenatal participation in lactation course, amenity room, returning to work after maternity leave, feeding options and the length of time that spending on breastfeeding among those women who measured different BMI score during early pregnancy. More caesarean section in overweight and obese women was found in this study. There was no significant difference between breastfeeding experience and breastfeeding self-efficacy among different body weight women. In breastfeeding behavior investigating, women at one month postpartum increased 13.34% proportion of pure breastfeeding, decreased 21.67% combining breastfeeding and bottle feeding (mixed feeding) and increased 8.33% formula-feeding than those at 2-3 days postpartum. However, there was no statistically significant difference on feeding behavior between 2-3 days postpartum and one month postpartum among different BMI women. The predictor of breastfeeding behavior at 2-3 days postpartum was known as breastfeeding experience and feeding self-efficacy. Moreover, the predictor of breastfeeding behavior at one month postpartum was known as breastfeeding self-efficacy.
Conclusion: It was concluded that women's body weight would not affect their breastfeeding experience, breastfeeding self-efficacy and the breastfeeding behavior. Breastfeeding self-efficacy and breastfeeding experience were the important factors of postpartum lactation behavior. To enhance breastfeeding behavior, it was recommended that a prenatal and postpartum education program of breastfeeding, breastfeeding experience sharing, enhance the confidence of breastfeeding in clinical practice.
論文目次 文摘要 Ⅰ
英文摘要 Ⅲ
第壹章 緒論
第一節 研究背景 1
第二節 研究的重要性及問題陳述 3
第三節 研究目的 3
第四節 研究問題 3
第貳章 文獻查證
第一節 影響哺餵母乳的因素 4
第二節 肥胖與哺餵母乳之關係 5
第三節 影響哺餵母乳經驗及其因素 8
第四節 影響哺餵母乳自我效能因素 9
第五節 肥胖婦女哺餵母乳行為 11
第參章 研究方法
第一節 研究設計 13
第二節 研究對象與場所 14
第三節 研究架構 15
第四節 研究工具與信效度 17
第五節 研究倫理 19
第六節 資料收集 20
第七節 資料統計與分析 23
第肆章 研究結果
第一節 研究對象婦女之個人背景因素之分布情形 24
第二節 探討研究對象之母乳哺餵經驗母乳哺餵自我效能之分布情形 27
第三節 比較過重/肥胖婦女及正常體重婦女個人背景因素、母乳哺餵經
驗、母乳哺餵行為之差異分析 31
第四節 探討母乳哺餵行為之預測因子 45
第伍章 討論
第一節 探討體重對哺餵母乳經驗之影響 47
第二節 探討體重婦女對母乳哺餵自我效能之影響 49
第三節 探討體重婦女對哺餵行為之影響 50
第四節 探討母乳哺餵行為之預測因子 52
第陸章 結論與建議
第一節 結論 53
第二節 建議 54
第柒章 參考資料 55
附錄 61
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