[[alternative]]Comparing the Maternal confidence and Perceived stress women who lived at different location during the Postpartum period

[[abstract]]目的：比較不同地點坐月子之產後婦女之母育信心及壓力知覺其差異性研究方法：採橫斷描述相關性研究。以方便取樣方式，於南部某區域教學醫院產後病房針對產後婦女進行收案。共收集131位產婦。研究工具：問卷量表包括「基本資料調查表」、「母育信心量表」、「壓力知覺量表」。研究結果：一、不同坐月子地點的產後婦女之母育信心有顯著性差異，居家坐月子的婦女母育信心得分（54.85±10.63）比在產後護理機構坐月子的婦女母育信心得分（52.25±13.89）分數高，且有顯著性差異（p<.05）。二、研究對象基本屬性與母育信心分數，在夜間有無實施親子同室（t=2.82, p<.01）及不同坐月子地點（t=-2.16, p<.05）之結果呈顯著性差異，亦即顯示在有實施夜間親子同室者及採居家坐月子者其母育信心分數較高。三、不同坐月子地點的產後婦女之壓力知覺分數無顯著性差異。四、產後婦女母育信心相關因素之預測因子為「夜間親子同室」，亦即表示夜間有採親子同室之產婦，其母育信心較高。臨床應用及建議：一、 產後護理機構所提供之照護應以家庭為中心，以母嬰共照為主軸，不宜將母 嬰分開，尤其應積極提供夜間親子同室的措施，同時增加照護人力，使產後婦女能擁有照護新生兒的能力，進而提升其母育信心。二、於婦女產後期入住產後護理機構時的健康指導應提供有關新生兒常見問題之照護的內容，以及應用多元的教學策略，以助學習成效的提升。多元的教學策略包括實際模擬、影片播放、討論會等教學方式。以期使產婦了解新生兒特性及學會照護新生兒的方法，以利返家後產婦能對自己有信心，能勝任照護新生兒的角色與功能。三、可將不同坐月子地點之優缺點提供給孕婦及其家人，以利孕婦及其家人於選擇產後期接受的照護方式及地點時能有所依據，並自行抉擇有利於自己的照護模式。四、未來研究者如對產後期婦女照護主題有興趣者可進一步應用質性研究方法做深入的探討。[[abstract]]Objective: To compare the differences from Maternal confidence and Perceived stress in different postpartum facilities.Study Method: This is a descriptive research- a cross-sectional study. Samples from 131 postpartum women were collected from the postpartum wards that are affiliated with regional teaching hospitals in Southern Taiwan. Study Design: Using cross section, descriptive, and quantitative research method, Questionnaire including “Basic Information Survey,” “Maternal Confidence Questionnaire,” and “Perceivd Stress Scale.”Result: 1.There are significant differences in Maternal confidence from different postpartum facilities. Those that choose to have postpartum care at home scored 54.8±10.63, which is higher than those mothers that choose to stay at postpartum care facilities, with an score of 52.25±13.89, which has a significant difference of p<.05.2.Study target consist of basic properties and scores from Maternal confidence from mothers. Results significantly showed those that provide nighttime “rooming-in” scored t=2.82, p<.01, and mothers with assistance in postpartum care scored t=-2.16, p<.05. Thus represented that mothers who choose postpartum care at home and nighttime “rooming-in” has a significantly higher score in confidence in childcare.3.There is no significant difference in Perceived stress score among women with postpartum recovery in difference places.4.Factors related to mother’s confidence in childcare is nighttime “rooming-in,” which indicates that confidence is higher from mothers that had nighttime “rooming-in” than those that didn’t. Clinical Application & Suggestions: 1. Other than following up breastfeeding conditions from mothers, suggest obstetric health educator include psychological evaluation, and have support system from professionals in order to minimize the chances of postpartum depression.2. Suggest providing actual simulation, common Q&A videos that can answer to some common questions about newborn care, and held a newborn care conference before mothers are discharged. Learning more about neonatal care and behavior can benefit mothers when they return home and care for their newborn. 3.In order to provide more options upon choosing a postpartum care facility for expecting mothers, suggest including the pros and cons of the location in the medical care decision method.4.For those that are undertaking research in the field of postpartum care, suggest future researchers to investigate by using qualitative research method, and have an extensive understanding in correlation between mother’s confidence in childcare and pressure perception