社會支持對母乳哺育自我效能及母乳哺育意圖的相關性之研究 -以台北市某產後護理之家為例

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://dyhuir.dyhu.edu.tw/ir/handle/987654321/1512

题名:	社會支持對母乳哺育自我效能及母乳哺育意圖的相關性之研究 -以台北市某產後護理之家為例
其它题名:	An Investigation of the Correlation Between Social Support, Breastfeeding Self-Efficacy, and Breastfeeding Intention: A Case Study of a Postpartum Care Center in Taipei City
作者:	吳雪鈺
贡献者:	黃庭鍾
关键词:	社會支持;母乳哺育自我效能;母乳哺育意圖;Social Support;Breastfeeding Self-Efficacy;Breastfeeding Intention
日期:	2025
上传时间:	2025-09-02T08:32:10Z
出版者:	德育學校財團法人德育護理健康學院;健康產業管理研究所
摘要:	這篇論文旨在探討產後婦女的社會支持、母乳哺育自我效能及母乳哺育意圖之間的相關性。研究背景許多研究證實母乳哺育對母嬰皆有益處，許多母親在開始和持續母乳哺育的過程中面臨挑戰，而社會支持、母乳哺育自我效能及母乳哺育意圖被認為是重要的因素。研究動機源於本研究者在產後護理之家的臨床觀察，發現產婦在哺餵母乳的路上會遇到許多生理及心理上的困難，而良好的支持系統和母乳哺育自我效能的提升能幫助她們更順利地持續哺餵母乳。研究目的了解台灣母乳哺育的現況，希望能提高台灣的母乳哺育率及產婦的哺乳意願。研究提出了以下主要問題：(一)產婦的社會支持系統對母乳哺育自我效能之影響性(二)母乳哺育自我效能對母乳哺育意圖之影響性。研究方法量化研究法，以台北市某產後護理之家的產後婦女為研究對象，進行問卷調查。問卷包含產婦人口學資料、社會支持量表、母乳哺育自我效能量表及哺乳意圖量表。研究共發出並回收102份問卷。研究結論研究結果顯示，產婦的年齡、教育程度、經濟狀況、生產方式、哺乳經驗等基本背景變項，與母乳哺育自我效能的三個構面，包含哺乳外在技巧及知能、哺乳內在思維模式、哺乳親子互動模式之間皆未呈現顯著相關，推測可能與產婦處於產後護理之家、獲得專業人員持續性支持與教導有關。社會支持方面中:情感及安全感支持與整體母乳哺育自我效能、哺乳內在思維模式及哺乳親子互動模式呈顯著正相關。知識和資訊的互換支持與整體母乳哺育自我效能及哺乳內在思維模式呈顯著正相關。然而，情感及知識支持與哺乳外在技巧無顯著相關，實質幫助支持（如協助育嬰或家務）與母乳哺育自我效能及其構面均未呈顯著相關。這可能同樣受產後護理之家環境影響，產婦傾向依賴專業協助而非個人技巧或家庭提供的實質幫助，但情緒性與訊息性的支持較能強化產婦的哺乳信心與行為動機。母乳哺育自我效能與母乳哺育意圖方面：研究結果顯示，僅有「哺乳外在技巧及知能」對哺乳意圖具有顯著正向預測力，說明提升產婦的母乳哺育自我效能，特別是在外在技巧及知能方面，對於增進哺乳意圖具有實質助益，建議後續可針對返家後階段及長期哺乳歷程進行追蹤與深入探討，其餘構面雖具正向趨勢但未達統計顯著。研究顯示除自我效能外，尚有其他社會與結構因素可能影響產婦之哺乳意圖，可能與長期規劃、外在壓力、職場壓力、返家後支持系統不足或育兒負擔等因素有關，表明產婦的哺乳能力或實際哺乳行為，不一定能有效轉化為持續哺餵母乳的長期意願。 This study aims to explore the relationship between social support, breastfeeding self-efficacy, and breastfeeding intention among postpartum women. Background: Numerous studies have confirmed the benefits of breastfeeding for both mothers and infants. However, many mothers face challenges in initiating and maintaining breastfeeding. Social support, breastfeeding self-efficacy, and breastfeeding intention have been identified as key influencing factors. The motivation for this study originated from the researcher's clinical observations in a postpartum care center, where many postpartum women experienced both physical and psychological difficulties related to breastfeeding. It was observed that an effective support system and enhanced self-efficacy could help mothers continue breastfeeding more successfully. Purpose: This study seeks to understand the current status of breastfeeding in Taiwan, with the goal of improving breastfeeding rates and increasing mothers' willingness to breastfeed. The research specifically investigates: (1) the influence of social support systems on breastfeeding self-efficacy, and (2) the impact of breastfeeding self-efficacy on breastfeeding intention. Methods: A quantitative research design was employed. The study surveyed postpartum women at a postpartum care center in Taipei City using a structured questionnaire. The questionnaire included demographic information, a social support scale, a breastfeeding self-efficacy scale, and a breastfeeding intention scale. A total of 102 valid responses were collected. Results: The findings showed that maternal background variables—including age, education level, economic status, mode of delivery, and breastfeeding experience—were not significantly correlated with the three dimensions of breastfeeding self-efficacy (external breastfeeding skills and knowledge, internal breastfeeding mindset, and mother-infant interaction). This may be attributed to the professional support and guidance available in the postpartum care center environment. In terms of social support, emotional and security support was significantly and positively correlated with overall breastfeeding self-efficacy, internal breastfeeding mindset, and mother-infant interaction. Informational support was also positively associated with overall breastfeeding self-efficacy and internal mindset. However, neither emotional nor informational support showed significant correlation with external breastfeeding skills and knowledge. Instrumental support (e.g., assistance with infant care or household chores) was not significantly related to breastfeeding self-efficacy or its subdimensions. These findings suggest that mothers in postpartum care centers may rely more on professional support than on personal skills or family-based assistance, while emotional and informational support more effectively strengthen mothers’ confidence and motivation to breastfeed. Regarding the relationship between breastfeeding self-efficacy and breastfeeding intention, only external breastfeeding skills and knowledge had a significant positive predictive effect on breastfeeding intention. This indicates that enhancing mothers’ confidence in practical skills and knowledge plays a vital role in promoting their intention to breastfeed. It is recommended that future studies focus on the postpartum period after returning home and examine long-term breastfeeding experiences. Although other dimensions of self-efficacy showed positive trends, they did not reach statistical significance. The study also suggests that in addition to self-efficacy, other social and structural factors—such as long-term planning, external stress, workplace challenges, limited post-discharge support, and caregiving burden—may affect mothers’ breastfeeding intentions. Thus, breastfeeding ability or current breastfeeding practices may not necessarily translate into long-term willingness to breastfeed exclusively.
显示于类别:	[學位論文] 113學年度

文件中的档案:

档案	大小	格式	浏览次数
index.html	0Kb	HTML	3	检视/开启

在CKUIR中所有的数据项都受到原著作权保护.

数据加载中.....