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研究生: 林佑罄
Lin, You-Ching
論文名稱: 探討母乳支持團體對母乳哺餵自我效能及預計哺育持續時間之成效
Effects of support group on the self-efficacy and expected feeding duration of breastfeeding
指導教授: 王瑤華
Wang, Yao-Hua
學位類別: 碩士
Master
系所名稱: 醫學院 - 護理學系
Department of Nursing
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 70
中文關鍵詞: 母乳支持團體母乳哺餵自我效能預計哺育持續時間
外文關鍵詞: support group, breastfeeding self-efficacy, breastfeeding duration
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  • 研究背景:2010年國民健康署對國民純母乳哺餵率的調查結果顯示,國人產後一個月至產後四個月的純母乳哺餵率有下降的趨勢。國外學者研究指出,母乳支持團體提供的專業協助與同儕支持可增強產婦的哺乳意願並延長產婦的哺乳時間,且該效果在生產後三個月內最為有效。
    研究目的:本研究旨在了解:(1)產婦參加母乳支持團體後對母乳哺餵自我效能的提升狀況;(2)產婦參加母乳支持團體後對母乳哺餵持續時間的提升狀況。
    研究方法:研究樣本為102位產婦,包含為產後二個月及三個月有參加母乳支持團體之實驗組,及為產後二個月及三個月無參加母乳支持團體之對照組。研究方法為研究問卷,問卷包含個人基本資料及母乳哺餵自我效能簡式量表等,並對蒐集所得資料進行敘述性統計、重複測量及線性迴歸等分析。
    研究結果:實驗組母乳哺餵效能、哺乳意願皆較對照組高。在產後兩個月及產後三個月兩個時點,實驗組在技術層面與個人認知層面皆展現較高的自信,且預計持續哺育的時間較長。參加支持團體次數對產後住院期間母乳哺餵的自我效能及預計持續哺育時間亦有正面影響。
    結論:研究顯示參加母乳支持團體之產婦的哺乳意願及哺餵自我效能皆有較高的表現,故孕期參與母乳支持團體對產婦於產後哺餵母乳有正面幫助。

    Research Background: Breastfeeding rate is declining after the first to 4th months. Scholars suggested breastfeeding support groups combine professional peer support, may enhance mother’s motives and prolong breastfeeding duration.
    Research Purpose: Understand the effects of support group to breastfeeding self-efficacy and intended feeding duration.
    Research Methodology: Mothers were diided into the experimental and control groups. Women participated in the breastfeeding support group were considered as the experimental group. A structured questionnaire research tool was used for data collection. Repeated measures and linear regression were adopted to analyze the data.
    Research Results: The sample consists of 102 lying-in women. Women in experimental group reveal higher breastfeeding self-efficacy and higher breastfeeding willingness both in the second and third postpartum month. Women in the experimental group demonstrated higher self-confidence in breastfeeding techniques and interpersonal thoughts. In addition, women also extended their intended breastfeeding duration. Furthermore, times of attending breastfeeding support groups contributes to higher breastfeeding self-efficacy.
    Conclusion: The above results indicate that attending breastfeeding support groups improves mothers’ breastfeeding self-efficacy and breastfeeding duration. As a result, this study indicated that attending breastfeeding support groups has a positive impact on breastfeeding.

    中文摘要 I 英文摘要 II 第一章 緒論
 第一節 研究動機與重要性 1 第二節 研究目的 3 第三節 研究之理論架構 3 第四節 名詞定義 6 第五節 研究問題 8 第二章 文獻查證 第一節 影響持續哺餵因素 9 第二節 母乳哺餵自我效能 11 第三節 母乳支持團體角色功能 15 第四節 母乳支持團體與母乳哺餵自效能之關係 18 第三章 研究方法 第一節 研究設計 20 第二節 研究對象及地點 20 第三節 研究工具 22 第四節 研究步驟 24 第五節 資料處理與分析 26 第六節 研究倫理 27 第四章 研究結果 第一節 研究對象與各變項之描述性分析 29 第二節 母乳哺餵自我效能之描述性分析 40 第三節 參加支持團體與母乳哺餵自我效能量表之重複測量變異數分析 43 第四節 參加支持團體次數與母乳哺餵自我效能及預計哺育持續時間之 線性分析 51 第五章 結論與討論 第一節 結論 54 第二節 討論 54 第六章 研究限制與建議 第一節 建議與臨床運用 58 第二節 研究限制 59 第七章 參考文獻 60 附件 附件一 母乳哺餵自我效能簡式量表使用同意書 68 附件二 問卷 69  表目錄 表4-1-1前測研究對象參加母乳支持團體次數 30 表4-1-2前測研究對象人口學資料 32 表4-2-1母乳哺餵自我效能簡式量表分析 41 表4-2-2 產後二個月與產後三個月母乳哺餵自我效能簡式量表平均得分 43 表4-3-1母乳哺餵自我效能量表總分與參加母乳支持團體之變異數分析 45 表4-3-2參加母乳支持團體在母乳哺餵自我效能量表總分出院前一天、 產後兩個月、產後三個月之得分差異分析 45 表4-3-3是否參加母乳支持團體與技術層面在不同時間點之差異分析 46 表4-3-4是否參加母乳支持團體與個人認知層面在不同時間點之差異分析 48 表4-3-5預計哺育持續時間與是否參加母乳支持團體在不同時間點之差異分析 49 表4-3-6技術層面與預計哺育持續時間之變異數分析 50 表4-3-7技術層面與預計哺育持續時間在不同時間點之差異分析 50 表4-3-8個人認知層面與預計哺育持續時間之變異數分析 51 表4-3-9個人認知層面與預計哺育持續時間在不同時間點之差異分析 51 表4-4-1 參加母乳支持團體次數與母乳哺餵自我效能量表總分之線性迴歸分析 52 表4-4-2參加母乳支持團體次數與預計哺育持續時間之線性迴歸分析 53 圖目錄 圖一 研究概念架構圖 5 圖二 收案流程圖 22 圖三 研究流程圖 25  

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