請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94948完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 官晨怡 | zh_TW |
| dc.contributor.advisor | Chen-I Kuan | en |
| dc.contributor.author | 曾馨玉 | zh_TW |
| dc.contributor.author | Hsin-Yu Tseng | en |
| dc.date.accessioned | 2024-08-21T16:50:01Z | - |
| dc.date.available | 2024-08-22 | - |
| dc.date.copyright | 2024-08-21 | - |
| dc.date.issued | 2024 | - |
| dc.date.submitted | 2024-07-31 | - |
| dc.identifier.citation | Aktaş, S., & Aydın, R. (2019). The analysis of negative birth experiences of mothers: a qualitative study. Journal of Reproductive and Infant Psychology, 37(2), 176-192. https://doi.org/10.1080/02646838.2018.1540863
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(2005). 職業婦女持續哺餵母乳生活經驗的困境和因應行為 [The Daily Predicaments and Coping Behaviors of Working Breastfeeding Mothers]. 實證護理, 1(1), 13-21. https://doi.org/10.6225/jebn.1.1.13 蔡碩心, 楊美賞, & 王秀紅. (2016). 親子同室之施行與婦女身心健康 [The Efficacy of Rooming-In in the Context the Physical and Mental Health of New Mothers]. 護理雜誌, 63(3), 119-125. https://doi.org/10.6224/jn.63.3.119 鄭雪玉, & 洪志秀. (2020). 親子同室執行之挑戰與策略 [Challenges and Strategies for Rooming-in Policy]. 長庚護理, 31(2), 173-180. https://doi.org/10.6386/cgn.202006_31(2).0003 衛福部(2012).「母乳哺育-掌握過去、規劃未來」~ 母乳一指通~ .2012年8月7日, Retrieved from https://www.mohw.gov.tw/cp-3159-24189-1.html 穆淑琪. (2020). 全球嬰幼兒餵食計畫與母嬰親善醫療院所的連結及角色. 醫療品質雜誌, 14(2), 48-50. https://doi.org/10.3966/199457952020031402009 | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94948 | - |
| dc.description.abstract | 自母嬰親善醫院認證計畫施行以來，常得到許多來自民眾或是專業人士的抨擊，指出實施時太強迫，未能考量產後護女身心的脆弱，然而在多年前，政府納入各方訴求，將此評鑑標準放寬，希望能改善醫療機構實施的情況，讓原本政策推行的美意能延續，與此同時，在110年開始進行國際愛嬰醫院的評鑑，顯現持續推動母乳哺育的決心。本研究探討台灣當代婦女產後哺乳經驗，檢視前述政策變化的影響，藉以提出建言。本研究亦納入第一線護理師的實務經驗，更加全面地探討從個人、資訊環境、機構措施、乃至整體政策，這些層面如何交互影響、共同形成讓女性感到不友善的產後環境。本研究為質性研究，主要以半結構式訪談法為主，田野調查及線上文本分析為輔，經由11位產後婦女、5位護理師的訪談，本研究發現，產婦普遍未接受完整的產前教育，缺乏關於分娩、產後哺乳的正確知識，以致當經驗與期望不符時產生失落感，並對護理師在執行的政策措施感到壓力，基層人力的缺乏，更讓產後婦女無法得到完整衛教及即時協助，是讓產後婦女感到不友善的主要因素。另外，在政府未積極監管的情況下，廠商推行配方奶的地點由醫院轉至媽媽教室，商業行銷的盛行，影響了整體社會看待生育的態度，過度的行銷包裝影響了父母的認知及判斷，以上的因素相互交織，塑造了當代的產後環境。基於上述，建議政府應規劃完整的產前教育，建立父母的正確認知，以及建立產後居家訪視機制，解決產婦居家育兒面臨的困境，讓整體的產後環境更為友善。 | zh_TW |
| dc.description.abstract | Since the implementation of the Mother-Baby Friendly Institute program(MBFI), it has faced criticism for being too coercive and not considering the fragility of postpartum women. The government then relaxed evaluation standards to improve implementation in healthcare institutions and maintain the policy's original intent. In 2021, evaluations of Baby-Friendly Hospital Initiative (BFHI) began, showing a continued commitment to promoting breastfeeding.This study explored contemporary breastfeeding experiences of postpartum women in Taiwan with an attempt to examining the influence of previous policy changes. This research also included insights from frontline nurses to explore how personal, informational, institutional, and policy factors interact to create a perceived unfriendly postpartum environment.This study used qualitative methods, including semi-structured interviews with 11 postpartum women and 5 nurses combined with participant observation. The study found a lack of comprehensive prenatal education and accurate knowledge about childbirth and breastfeeding led to a sense of loss when postnatal women confronted a gap between expectation and real experiences. The sense of loss was also reinforced by the pressure from nursing measures. The shortage of human power in care system also prevented women from receiving adequate education and assistance regarding breastfeeding, leading to the unfriendly environment. Additionally, due to inadequate government regulation, formula milk promotion has shifted from hospitals to maternal classes. This commercial marketing influences societal attitudes towards childbirth and affects parents' perceptions and judgments.The study suggests the government provide comprehensive prenatal education and establish a postpartum home visit system to support mothers and create a more friendly postpartum environment. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2024-08-21T16:50:01Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2024-08-21T16:50:01Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 致謝 i
中文摘要 ii Abstract iii 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的與問題 1 第二章 文獻回顧 3 第一節 國際政策的形成 3 第二節 國內政策發展 6 第三節 母嬰親善政策之產婦經驗 8 (一)母乳哺餵 8 (二)親子同室 9 (三)護理師的知識與態度技能 9 第四節 政策與辯論 11 第三章 研究方法 13 第一節 資料蒐集 13 第二節 資料分析 14 第三節 研究倫理 14 第四章 研究結果與討論 15 第一節 決策背後的考量與過往經驗 18 (一)餵與不餵 18 (二)適應與重塑新角色—自我認同與價值感的建立 28 (三)夫妻關係的改變與支持 32 第二節 外界資訊造成的影響 35 第三節 機構措施形成的差異 47 第四節 無法落實的政策 60 第五章 結論 66 第一節 總結 66 第二節 研究限制及未來建議 67 參考文獻 68 附錄一 訪談大綱 77 | - |
| dc.language.iso | zh_TW | - |
| dc.title | 母嬰親善政策為何變得不親善-以產婦為主體的產後照護研究 | zh_TW |
| dc.title | Why has the Mother-Baby Friendly Institute Program become unfriendly? A study on postnatal care focusing on mothers | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 112-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 高美玲;陳玫儀 | zh_TW |
| dc.contributor.oralexamcommittee | Meei-Ling Gau;Mei-Yi Chen | en |
| dc.subject.keyword | 母嬰親善醫院認證計畫,母乳哺育,產後經驗,親子同室,商業奶粉, | zh_TW |
| dc.subject.keyword | mother-baby friendly institute program,breastfeeding,postpartum experiences,rooming-in,commercial milk formula, | en |
| dc.relation.page | 78 | - |
| dc.identifier.doi | 10.6342/NTU202402794 | - |
| dc.rights.note | 同意授權(全球公開) | - |
| dc.date.accepted | 2024-07-31 | - |
| dc.contributor.author-college | 公共衛生學院 | - |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | - |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
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