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The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

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篇名 Married Women's Satisfaction With Their Choice of Contraception
卷期 11:2
並列篇名 已婚婦女避孕滿意度之研究
作者 蕭雅竹孫淑惠
頁次 119-128
關鍵字 已婚婦女避孕滿意度Married womenContraceptionSatisfactionMEDLINEScopusSSCITSCITSSCISCIE
出刊日期 200306

中文摘要

     本研究旨在探討大學護理系學生臨床哺餵母乳教學的常見問題,乃自某護理學院二年級修習完產科護理學的213名學生中,簡單隨機抽樣60名學生為研究對象。研究工具採鍾等的「產科臨床護理專業能力鑑定模式」中的「哺餵母乳」之能力指標作為評核考試之準則。研究結果發現:研究對象的平均年齡為20.73歲,大多未曾有親自哺餵自己小孩母乳及臨床指導哺餵母乳之經驗。臨床考試的通過率為 26.67% (n = 16),考試通過者與失敗者除了在產科實習成績及已實習日數有差異性外,在基本人口學因素上皆無差異。分析學生在教導母乳哺育常見的錯誤有:分辨嬰兒適合餵奶及停止餵奶的醒覺狀態;瞭解嬰兒的飢餓與飽食暗示行為;母親姿勢-坐姿、臥姿、橄欖球式抱法;調整嬰兒姿勢以利餵奶;協助正確移出含在嬰兒口中的乳房;無菌、人際關係、教學、身體傷害、及親密連結等通用範圍。本研究可提供教師們在哺餵母乳教學設計上的改進,以提升護生的哺餵母乳之教學能力。

英文摘要

     The purpose of this study was to investigate the problems commonly seen in the clinical breastfeeding practice of undergraduate nursing students. The criterion for clinical performance examination was the instructional ability index for breastfeeding determined from the competency-based clinical performance examination in maternity nursing, a model developed by Chung et al. (2001). Simple random sampling was used to access 60 participants from the 213 baccalaureate students from the second year of a nursing department who had completed obstetric nursing education. The average age of the subjects was 20.73 years. Most subjects did not have experience either in breastfeeding or in instructing others about breastfeeding. The pass rate in the clinical examination was 26.67% (n = 16), and the difference was only in obstetrics nursing practicum scores and days of practice between pass and fail, with no significant difference in demographic data. The most common mistakes found during breastfeeding instruction by students included distinguishing the infant consciousness state fit for feeding, knowing when to stop feeding, identifying when the baby is hungry or satisfactied via behavioral cues, maternal posture (cradle and football holds, and side-lying), latching on techniques, assisting mother to correctly remove infant from the breast, and overriding test categories such as sepsis, interpersonal relationship, health teaching, physical jeopardy, and bonding. The results of this study can be used by instructors to improve their teaching design in breastfeeding education, as well as by undergraduate students of nursing departments to advance their ability to instruct others aboutbreastfeeding.

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