研究背景：新生兒黃疸為新生兒出生面對的一個常見的疾病，在臨床上也發現新生兒於出院後兩週再入院，以高膽紅素血症為主要原因，而「照光治療」為新生兒黃疸主要處置方式。由文獻得知，嬰兒按摩能緩和新生兒生理性黃疸，故本研究目的為探討嬰兒按摩對接受照光治療之黃疸新生兒的影響。
研究方法：本研究共募集56位黃疸新生兒，採實驗設計隨機分派，實驗組為接受嬰兒按摩（27位），對照組為未接受嬰兒按摩（29位）。實驗組的按摩介入於兩餐攝食之間進行，一天按摩2次，每次15分鐘，連續執行按摩活動3天，共6次。兩組在住院期間，均接受一般常規護理照護和照光治療，並採足跟血0.5毫升監測住院第一天、第二天及第三天血清總膽紅素值，收集每日總攝食量、排便次數、體重、總照光治療時間及住院天數。
研究結果：本研究結果顯示，接受嬰兒按摩的新生兒第三天的排便次數顯著高於未接受嬰兒按摩的新生兒（p=0.045），排除靜脈輸液干擾因素，接受嬰兒按摩的新生兒第三天血清總膽紅素值顯著低於未接受嬰兒按摩的新生兒（p=0.03）。而在每日總攝食量、體重、總照光治療時間及住院天數，兩組則無顯著差異。
結論：嬰兒按摩能使黃疸新生兒排便次數增加，降低血清總膽紅素值。

Background：Neonatal jaundice is a common problem affecting newborns. Neonatal readmission, typically caused by hyperbilirubinemia, occurs within 2 weeks after birth, and phototherapy, a major neonatal jaundice treatment, is subsequently administered. A study reported that baby massages are beneficial for ameliorating neonatal hyperbilirubinemia in full-term infants undergoing phototherapy. This study explored the effect of massages on newborns with jaundice undergoing phototherapy.
Methods：A experimental design and purposive selection sampling of 56 infants with jaundice (total serum bilirubin levels above 15 mg/dL) were admitted for phototherapy, and the infants were randomly assigned to a control group (n = 29) and an experimental group (n = 27). The participants in the massage group received 15-minute infant massages twice daily for 3 days. The participants in the control group did not receive massages. During the study period, the 2 groups received the same nursing routine care and phototherapy. On Day 1, Day 2, and Day 3, 0.5 mL of blood was drawn from a clinical heelstick blood sample. Infants’ medical records, which included total feeding amount, stool frequency, body weight, microbilirubin data, total phototherapy duration, and hospital days.
Results：The results of this study suggested that the stool frequency of the massaged infants on Day 3 was significantly higher than that of the infants in the control group (p = 0.045). The serum total bilirubin levels on the third day significantly decreased in the massage group compared with the control group (p = 0.03), excluding intravenous infusion. No significant differences between the 2 groups in feeding amount, body weight, total phototherapy duration, and length of hospital stay were observed.
Conclusions：Infant massage can reduce the serum total bilirubin level and increase the stool frequency of newborns with jaundice.

目錄
中文摘要 i
Abstract ii
謝誌 iii
目錄 iv
表目錄 vi
圖目錄 vii
第一章　緒論 1
第一節　研究背景與動機 1
第二節　研究目的 4
第三節　名詞釋義 5
第二章　文獻探討 8
第一節　新生兒黃疸發生的機制與分類 8
第二節　新生兒黃疸治療 17
第三節　嬰兒按摩 22
第四節　嬰兒按摩對新生兒黃疸成效之相關研究 42
第三章　研究方法 50
第一節　研究架構 50
第二節　研究設計 51
第三節　研究對象 53
第四節　研究倫理 54
第五節　研究工具 55
第六節　嬰兒按摩程序及手法 58
第七節　研究流程 60
第八節　資料分析方法 62
第四章　研究結果 63
第一節　研究對象基本資料分析 64
第二節　嬰兒按摩對於黃疸新生兒消化吸收與排泄之影響 66
第三節　嬰兒按摩對於黃疸新生兒體重之影響 75
第四節　嬰兒按摩對於黃疸新生兒之影響 77
第五章　討論 84
第一節　研究的主要發現 84
第二節　研究限制 102
第六章　結論 103
參考文獻 104
中文文獻 104
英文文獻 108
附錄 119
附錄一　人體試驗計畫審查通過證明書 119
附錄二　受試者同意書 120
附錄三　嬰兒按摩規範 122
附錄四　個案的基本資料表 125
附錄五　研究記錄表 126
附錄六　嬰兒按摩的步驟及手法 127


表目錄
表2-1 嬰兒按摩對生理發展之相關研究 31
表2-2 嬰兒按摩對社會心理之相關研究 40
表2-3 嬰兒按摩與新生兒黃疸之相關研究（一） 44
表2-4 嬰兒按摩與新生兒黃疸之相關研究（二） 45
表4-1 研究對象基本資料 65
表4-2 受測者每日攝食量狀況 66
表4-3 實驗組與對照組攝食量之比較 67
表4-4受測者靜脈輸液狀況 68
表4-5受測者每日靜脈輸液量狀況（為施打靜脈輸液的受測者） 69
表4-6 實驗組與對照組靜脈輸液之比較（為施打靜脈輸液的受測者） 69
表4-7 受測者每日排便狀況 71
表4-8 實驗組與對照組排便次數之比較 72
表4-9 受測者每日排尿量狀況 73
表4-10 實驗組與對照組排尿量之比較 74
表4-11 受測者每日體重狀況 75
表4-12 實驗組與對照組體重之比較 76
表4-13 受測者每日血清總膽紅素濃度狀況 78
表4-14 實驗組與對照組血清總膽紅素濃度之比較 78
表4-15 受測者每日血清總膽紅素濃度狀況（排除靜脈輸液） 80
表4-16 實驗組與對照組血清總膽紅素濃度之比較（排除靜脈輸液） 81
表4-17 實驗組與對照組總照光治療時間之比較 82
表4-18 實驗組與對照組之總住院時間之比較 83


圖目錄
圖3-1 研究架構圖 50
圖3-2 研究設計圖 52
圖3-3 研究流程圖 61
圖4-1實驗組與對照組攝食量之比較 67
圖4-2實驗組與對照組靜脈輸液之比較 70
圖4-3實驗組與對照組排便次數之比較 72
圖4-4實驗組與對照組排尿量之比較 74
圖4-5實驗組與對照組體重之比較 76
圖4-6實驗組與對照組血清總膽紅素濃度之比較 79
圖4-7實驗組與對照組血清總膽紅素濃度之比較（排除靜脈輸液） 81
圖4-8實驗組與對照組總照光治療時間之比較 82
圖4-9實驗組與對照組之總住院時間之比較 83

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