| Summary: | 碩士 === 國立陽明大學 === 臨床護理研究所 === 93 === Abstract
The purpose of this research was to explore and to compare postpartum maternal care and newborn infant care (both including the numbers of executing care, the degree of difficulty, and the degree of health education needs) between Taiwanese and Vietnam primiparas in Tainan area, Taiwan. A community-based cross-sectional study was conducted with a purposive randomly-selected sample of 204 primiparas (102 were Taiwanese and 102 were Vietnam subjects). A structured questionnaire was used to collect data and was delivered by way of a face-to-face interview. Major research results were shown as following:
1. In executing postpartum maternal care and newborn infant care:
(1) Taiwanese women showed a moderate degree of conducting postpartum maternal care (Mean ± SD =7.34 ± 1.35; total score ranging from 0 to 11); Vietnam women showed a moderate-to-low degree (Mean ± SD = 5.77 ± 0.90). (2) In the degree of difficulty in postpartum care, Taiwanese and Vietnam women all revealed a mild low degree (Mean ± SD = 20.22 ± 3.38 vs. 22.17 ± 3.43; total score ranging from 11-55). (3) The degree of health education needs, Taiwanese and Vietnam women also revealed a mild low degree of health education need (Mean ± SD = 5.75 ± 4.09 vs. 4.57 ± 3.32; total score ranging from 0-11). (4) Taiwanese and Vietnam women showed a moderate to high degree of conducting newborn infant care (Mean ± SD = 15.04 ± 1.90 vs. 14.04 ± 1.85; total score ranging from 0 to 19). (5) The difficult degree showed a mild low degree in both subjects (Mean ± SD = 27.26 ± 3.58 vs. 29.01 ± 5.00; total score ranging 19-95). (6) As to health education needs of infant care, Taiwanese women showed a moderate degree (Mean ± SD = 16.28 ± 2.92; total score ranging 0 to 19) whereas Vietnam women revealed a mild low degree (Mean ± SD = 11.91 ± 8.76). (7) In comparative study, Taiwanese women conducted significant more items postpartum maternal care and newborn infant care than Vietnam women but revealed significant less difficulties maternal care and newborn infant care than Vietnam women. As to health education needs, significant difference existed in infant care between two groups of postpartum women, however no significant differences were found in postpartum maternal care
2. In influencing factors：
(1) Factor influencing the numbers of postpartum maternal care conducted for Taiwanese postpartum women was education level; for Vietnam postpartum women included occupation and life adaptation.(2) Factors relating to difficult degree of postpartum maternal care for Taiwanese postpartum women included types of delivery, length of hospital stay, postpartum maternal care instructions received during pregnancy and labor in hospital. For Vietnam postpartum women, except above same two factors (i.e. length of hospital stay and postpartum maternal care instructions received during pregnancy and labor in hospital.), life adaptation had a significant relationship with the degree of difficulty postpartum maternal care. When analyzing as a whole (N = 204), stepwise multiple regression analyses indicating five variables (postpartum maternal care instructions received during pregnancy and labor in hospital, occupation, types of delivery, education, family types) could be singled out as significant factors on the difficult degree of postpartum care and accounted for 23.9% of the variance. Nationality revealed a weak effect because when nationality variable was forced to enter the regression model only increase 0.5% of cumulative adjusted R square. (3) Factors influencing the degree of health education needs of postpartum maternal care, the frequency of prenatal checkup and postpartum maternal care instructions received during pregnancy and labor in hospital revealed significant relationships Taiwanese postpartum women’s health care needs. But for Vietnam postpartum women, the knowledge of postpartum maternal care revealed a significant relationship with their needs. (4) Factor influencing the numbers of newborn infant care conducted for Vietnam postpartum women was life adaptation. However no significant variables were found in Taiwanese women. (5) Factors relating to difficult degree of newborn infant care for Taiwanese postpartum women indicated only one variable socioeconomic status had significant relationship with the degree of difficulty in Taiwanese women. For Vietnam women, there were no variables revealed significant relationships with their difficulties. When analyzing as a whole (N = 204), stepwise multiple regression analyses indicating two variables (age, and education) could be singled out as significant factors on the difficult degree of newborn infant care but accounted for 6.2% of the variance. Nationality also revealed a weak effect only increase 0.2% of cumulative adjusted R square when nationality variable was forced to enter the regression model. (6) Regarding factors influencing the degree of health education needs of newborn infant care, only one variable had significant relationship with Vietnam women’s health education needs. But no variable were found in Taiwanese women. Finally, based on the results of this study, we provide suggestions in nursing practice, nursing education, and future research.
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