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新臺北護理期刊

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篇名 母乳哺餵作業之改善
卷期 4:1
並列篇名 The Improvement of Breast-Feeding Work
作者 蘇淑芳廖美南陳美玉林秀珍
頁次 115-126
關鍵字 母乳哺餵母乳哺餵率breast-feedingbreat-feeding rate
出刊日期 200202

中文摘要

母乳哺餵新生兒是人類最傳統及自然育兒方式,而母乳豐富之營養亦是上天賜給嬰兒最美好之食物。母乳哺餵的影響因素,包括母親身體方面:生產方式、母親健康狀況,心理方面:信心、經驗、技巧、社會方面:醫療環境、醫療處置、醫護人員知識、態度、哺餵時機等,其中醫護人員的支持和衛收,是重要因素之一。醫護人員有正確觀念了解哺餵母乳的相關因素,才能及早預防及處理母乳哺餵相關問題減少母親的挫折感;另外,醫療系統作業不夠彈性:如硬性餵奶時間的規定、輔助品的給予,專業人員的知識、支持及指導不夠,皆會失去成功哺餵母乳的契機。本專案進行期間針對任職機構婦產科門診、產房、產科病房、嬰兒室之護理人員,以不具名方式進行母乳的優缺點、母乳哺餵及常見問題護理知識測試。測試資料採SPSS 10.0 for window套裝軟體進行分析,測試結果問卷回收率93%。護理人員職級以N3人員53.3%居多,資歷3年以上佔48%,教育程度專科佔78.6%,未婚者佔73.3%,無哺乳經驗者佔82.7%。護理人員對母乳哺餵知識平均得分19.8%,答對率為65.5%,其中護理人員基本屬性與母乳哺餵知識之相關性中以婚姻具顯著差異(p<0.05)。經訂定母乳哺餵政策、制定母乳哺餵作業細則、醫療環境設備改善及提升護理人員母乳哺餵知識專案改善後,護理人員對母乳哺餵知識平均得分24.01,答對率由65.5%提昇至83%,筆者任職之機構產婦母乳哺餵率由62%提昇至91%。

英文摘要

Breast-feeding of newborns is the most traditional and natural way of human beings’ parenting, and its plentiful nutrition for newborns is also the best gift of food from heaven. There are some influential factors of breast-feeding, for example, mothers’ bodies (lack of knowledge, way of delivery, health condition), mentality (confidence, experiences, techniques), society (medical environment and treatment, nursing practitioners’ knowledge, attitude,, and feeding time), and among which, professional support and sanitary education are very important. Having correct concepts of breast-feeding, nursing practitioners can prevent and help deal with related feeding problems so as to decrease mothers’ frustration; however, the inflexibility of the medical system, such as fixed regulation of feeding time, professional knowledge, lack of support and instruction, can lead to the failure of breast-feeding. In the process of undertaking this study, nursing practitioners who work in O.B.G(O.P.D)、D.R.、Obs. R. and B.R. took a test anonymously on the advantages/disadvantages of breast-feeding and crmmon nursing knowledge. The analysis was undertaken by adapting SPSS 10.0 for Windows. The return rate of questionnaires was 93%;N3 53%, seniority over 3 years 48%, educational level of academy 78.6%, unmarried 73.3%, inexperienced in breast-feeding 82.7%. Tge accuracy rate of nursng practitioners’ average score to breast-feeding was 65.5%. Marriage is the apparent difference between their basic attribute and relevancy of breast-feeding knowledge (p<0.05). After making breast-feeding policies and regulation, improving medical environrnent and facilities, and promoting professional knowledge of nursing practitioners, the accuracy rate of the average score was raised from 65.5% to 83%, and breast-feeding rate, 62% to 91%.

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