| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 107 === Introduction: Raising the rate of exclusive breastfeeding is an important accredited criterion of baby friendly hospital. It has been known that through the learning of baby-care and breastfeeding, maternal role and maternal-infant attachment can be facilitated. Because of postpartum fatigue, pain from wound, or lack of support system, mother may discontinue breastfeeding earlier than the duration being recommended. Therefore, the development of a set of more mother-friendly postpartum care instruction is crucial for the maintenance of breastfeeding.
Aim: The aims of this study include: 1. to explore the difference maternal role and maternal competence between mothers in the experimental and control group on the day of discharge；2. to evaluate the difference maternal role and maternal competence between mothers in the experimental and control group on the 30th day of postpartum period.
Method: This study used quasi-experimental design. Data was obtained from the mother in baby friendly hospital or postpartum nursing care center of southern Taiwan on the discharge day and 30th day of postpartum period. All the participants were assigned to control (traditional postnatal care instruction) or experimental group (individualized postpartum care instruction). Pretest was performed at first, and then launching the data collection if the design was approved to be applicable. The presumed number of mothers in each group was 70. The regular postnatal care evaluation and instruction were given to participants in both groups within 3-5 days of postpartum period. After the mothers in the experimental group admitting to postpartum nursing care center, one-to-one postnatal education was introduced. The educational tools in the experimental group included baby infant simulator, the brochure and DVD with content of postnatal and infant care designed to improve the teaching efficiency. The Population Attribute Scale, Maternal Role Questionnaire, and Maternal competence Scale were used. The data was coded, filed, and analyzed with SPSS Statistics 24.0.
Results: Mothers accepting traditional postpartum education was defined as control, and those given additional postpartum care instruction were classified into experimental group. The mean±SD of Maternal Role Questionnaire in the control group on the day of discharge was 2.15±0.71, and 2.20±0.78 in the experimental group, p=0.69. As for the Maternal competence Scale on the day of discharge, mean±SD of control group was 1.80±0.56, while that of experimental group was 1.81±0.51, p= 0.95. There was no significant difference in both maternal role and competence between two groups just on the day of discharge. On the 30th day of postpartum period, the t score of Maternal role Questionnaire post-test minus pre-test (post-pre) in the control group was -6.7, p<0.001, likewise, the t score in the experimental group with one-to-one education was -10.49, p<0.001. The t score of Maternal competence Scale (post-pre) on the 30th day of postpartum period was -17, p<0.001, and that of the experimental group with one-to-one education was -19.1, p<0.001. These results demonstrated that after applying one-to-one postnatal education on mothers, both maternal role and competence improved on the 30th day of postpartum period.
Conclusion: This study suggests that through providing additional postpartum care instruction, both maternal role and competence on the 30th day of postpartum period can be enhanced. This study provides references for revision of postpartum education on breastfeeding-promotion in both Baby-friendly hospital and school.
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