周產期母乳哺育指導與產婦執行24小時親子同室之相關性

The Impact of Perinatal Breastfeeding Practices on Implementation of the 24 -Hour Rooming-In Program

本研究旨在探討孕期及產後之護理措施對親子同室執行的影響。採描述相關研究設計，以「產前母乳哺餵護理指導表」、「產後哺餵母乳措施評估表」於北部某區域教學醫院進行資料收集。自2007年9月至2008年6月，共計有500位產婦參與研究。研究結果顯示教育程度在高中職(含)以下者之產婦執行親子同室的機會為研究所的2.10倍(95% CI=1.183-3.715, p < .05)；陰道生產者執行親子同室的機會為剖腹生產者的2.28倍(95% CI= 1.402- 3.711, p < .01)；曾有哺乳經驗者執行親子同室的機會高於無哺乳經驗者1.65倍(95% CI=1.078-2.512, p < .05)；產後接受「哺餵母乳的好處」護理指導之產婦執行親子同室的機會增加2.9倍(95% CI=1.768- 4.756, p < .001)；產前有接受「親子同室的重要性」及產後有接受「親子同室」護理指導者，執行親子同室的機會分別減少0.46倍(95% CI=0.296-0.728, p < .01)及0.13倍(95% CI=1.768-4.756, p < .001)。依據研究結果修訂護理常規及親子同室的護理指導內容等，以提升親子同室的執行及增進母嬰照護品質。

The aim of this study was to explore the impact of perinatal breastfeeding practices intervention during pregnancy and post-natal period on implementation of 24-hour rooming-in. The research used a descriptive correlation design. Data were collected from postpartum wards of a regional teaching hospital in northern Taiwan. The research instruments included “ Prenatal Breastfeeding Educational Record” and “Postnatal Breastfeeding Practices Assessment ”. A total of the 500 postpartum women joined the study from Sep. 2007 to Jun. 2008. The results showed that women with education below high school were 2.10 times more likely to perform rooming-in (95% CI=1.18-3.72, p < .05). Vaginal delivery and having breastfeeding experiences were positively associated with rooming-in (Odds ratio= 2.28, 95% CI=1.40-3.71, p < .01 and 1.65, 95% CI=1.08-2.51, p < .05), respectively. The postpartum women who accepted training of nursing practices of “The advantage of breast-feeding” had higher chance of implementing rooming-in (OR=2.9, 95% CI=1.77-4.76, p < .001). Women who accepted prenatal training of “The importance of rooming-in” and accepted training of “Postpartum rooming-in” were less likely to implement rooming-in (OR= 0.46, 95% CI=0.29-0.73, p < .01 and OR=0.13, 95% CI=1.77-4.76, p < .001) respectively. Based on the results, pregnancy and postnatal breast-related care content should be tailored to enhance the implementation of rooming-in and improve the quality of care for infants and mothers.