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比較母嬰同室與非母嬰同室之照護成效. 中文摘要 社會的變遷、家庭制度的改變及職業婦女逐漸增加等因素使得近年來國內產婦以母乳哺育嬰兒的意願逐年下降，而逐漸忽略了哺餵母乳的好處。母乳中的蛋白質主要為乳清蛋白，包括了乳鐵、乳蛋白、溶菌素及分泌型免疫球蛋白等，提供初生嬰兒非常重要的免疫力及抵抗力。哺餵母乳對母親方面的好處有：減少卵巢癌、停經前乳癌、骨質疏鬆的產生。
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比較母嬰同室與非母嬰同室之照護成效 • 中文摘要 • 社會的變遷、家庭制度的改變及職業婦女逐漸增加等因素使得近年來國內產婦以母乳哺育嬰兒的意願逐年下降，而逐漸忽略了哺餵母乳的好處。母乳中的蛋白質主要為乳清蛋白，包括了乳鐵、乳蛋白、溶菌素及分泌型免疫球蛋白等，提供初生嬰兒非常重要的免疫力及抵抗力。哺餵母乳對母親方面的好處有：減少卵巢癌、停經前乳癌、骨質疏鬆的產生。 • 嬰兒親善政策推動之目的在於鼓勵哺餵母乳，衛生署更頒定了嬰兒親善醫療機構認證標準。藉由明確的評分制度，來評估醫院實施哺餵母乳政策之情況，並將嬰兒親善認證做為醫院評鑑的項目之一。而嬰兒親善認證的取得不僅代表著該醫院在哺餵母乳上推行的努力，更代表著該醫院在母嬰同室上的實施，母嬰同室的實施結果將使得產婦及護理人員的多方效益顯著增加。因此，本研究欲了解產婦接受母嬰同室與否與其產後育嬰能力、親子關係及產婦滿意度之相關性。 • 因考量台北地區為首先推出母嬰親善醫院，因此在母嬰同室的推行上應具備相當經驗，故而研究對象選擇行政院衛生署於民國九十年所公布之台北市母嬰親善醫院為選樣地區(共7家)。於91年2月28至91年4月14日期間，由各醫院隨機挑選研究對象（產婦）並徵得產婦同意後，進行問卷調查。共計回收問卷450份，扣除無效及填答不全之問卷後，共計回收444份，回收率98.7%。其中有參加母嬰同室的產婦共223份，未參加母嬰同室的產婦共221份。 • 最後資料分析以SPSS 10.0進行分析，統計方法使用敘述性統計、卡方檢定及t檢定。研究結果顯示產婦接受母嬰同室與否與產婦職業、生產胎次、育嬰經驗、生產方式、哺餵方式、參加媽媽教室、新生兒父親年齡、嬰兒是否為產婦期望的性別有關。而產婦接受母嬰同室與否在產婦滿意度、育嬰能力及親子關係有顯著關係，其中接受母嬰同室之產婦其產婦滿意度、育嬰能力、親子關係之平均數皆較未接受母嬰同室者高。因此，建議醫院可針對影響產婦參與母嬰同室的原因加強執行，如增加產婦接受母嬰同室動機、實習彈性床邊哺餵、鼓勵產婦參與媽媽教室等，進而提高母乳哺餵率。
A Study of the Comparison about Care Effect Between Rooming-in and Rooming-in • 英文摘要 • After WWII, many hospitals had improved rooming in America (Cottrell, 1999; Martell, 1955). By rooming-in, not only mothers can breast-feed their children by baby’s biological clock, but also can improve breast-feed rate, father’s participation and responsibility (McBryde, 1951). Because of the mother who received rooming-in model have high satisfaction, the purpose of this study was to understand the interaction between rooming-in and non rooming-in in maternal satisfaction, maternal competence and attachment behaviors.Taipei was a surveyor''s pole to try to carry out baby-friendly hospital, so an object of study was choiced by the mother-infant amity hospital in Taipei. After survey, 444 questionnaires received and took off the invalid questionnaires. There were 223 mothers participation rooming-in and 221 mothers weren’t.The collected data were interpreted with descriptive (percentage, mean, standard deviation) and inferential (t-test, Chi-Square test). There were significant difference among mother’s age, job, bear frequency, nourish baby, bear way, feeding method, participation prenatal education, father’s age and mother’s expect. There were also significant difference between rooming-in and non rooming-in in maternal satisfaction, maternal competence and attachment behaviors. Specially, mothers who participation rooming-in had high score in maternal satisfaction, maternal competence and attachment behaviors.
