台北市產後護理機構之照護品質調查

Quality of Care in Postpartum Care Organizations in Taipei

10.6288/TJPH2002-21-04-05

蘇喜(Syi Su)；蕭世槐(Shih-Huai Hsiao)；湯靜怡(Tang；Jing-Yi)

產後護理 ； 坐月子 ； 照護品質 ； Postpartum care organization ； Postpartum care ； Quality of care

台灣公共衛生雜誌

21卷4期（2002 / 08 / 01）

266 - 277

繁體中文

目標：本研究主旨在瞭解產後護理機構(坐月子中心)之照護品質現況。方法：本研究為一橫斷性研究，使用二份具有信、效度之問卷，以非隨機取樣方式，分別實地訪查位台北市內的9家產後護理機構之設施／設備及服務提供狀況，及以面訪方式調查居住於內之258位產婦之照護滿意度。結果：(1)利用產後護理機構之產婦以30~34歲最多，約佔50.8%，平均年齡為32.7歲；產婦及其配偶之學歷在大學以上者最多，分別佔51.4%及65.2%，產婦與配偶之職業分類亦以專業性及技術性相關工作、自營事業者及經理主管居多；(2)坐月子中心中立案者僅1家，平均成立時間為7.8年，平均床數為16.4床，每床平均可使用為32.06平方公尺。收費金額每日平均為3,008元，產婦利用前需要繳交保證金及預約床位金；(3)產婦對整體坐月子服務滿意度感到滿意者有57%。感覺尚可的有40％。在對托育服務之整體性滿意度，有61.3%感到滿意，感覺尚可有35％；其他各方面的滿意度皆比產婦對自己的服務滿意度要高。(4)選擇接受機構式照護之原因以專業化照護、家中沒人可以幫忙坐月子、同事朋友建議等等為主。(5)有關與產後護理機構之資訊來源以曾經利用者或其親屬介紹者、及媒體宣傳為主。(6)選擇產後護理機構的考量因素以照顧品質較佳、扽嬰設備很好、居住環境良窳為要，且保證金收取與否會影響其坐月子及托育服務滿意度。結論：綜而言之，產後護理機構其照護品質，在結果上，不論在產婦之坐月子服務滿意度、抑或托育服務滿意亦達六成；在結構面上，仍以機構未經政府單位立案之問題居首，此值得衛生主管機關注意。

Objective: This research is aimed to explore the current quality situation of postpartum care organizations (PCO) and the degree of satisfaction the residing postpartum women hold. Method: This study design is a cross-sectional study. Two questionnaires which were reliable and valid were utilized to explore both the postpartum care organizations and the residents' opinion of the quality of care. Census survey of the nine PCOs and 258 nonrandomly sampling subjects among their residents, were subjects of organizations and residents respectively. Results: The following results were found: (l) 50.8% of residents of PCOs are aged 30-34 years old, 51.4% and 65.2% of residing postpartum women and their husbands' education level was bachelor's level. Their occupational status were mostly professional and skilled related jobs, a self-run business or manager. This shows that the socio-economic status of the subjects were relatively high. (2)Among the nine organizations, only one is legally registered. The average daily expense is 3,008 NT dollars. Besides that, most organizations require the residents to submit 10,000 NT dollars as a deposit or reservation right for a bed. (3) 57% of the subjects feel satisfied with the overall services, 40% feel they are acceptable. 61.3% of the subject feel satisfied with the baby care services, 35% feel they are acceptable. The other perceived satisfaction of baby-sister services were assessed higher than postpartum women.(4) the main reasons for utilizing institutionalized postpartum care are believed to be that the PCOs provided professional postpartum care, no relative can provide postpartum care services, and colleagues' and friends' advice. (5) the postpartum women were informed by other users' suggestions, relatives, and the mass media. (6) the factors for choice consideration were quality of care, a lot of good baby care facilities and equipment, and a comfortable residential environment. Conclusion: As to the outcome Quality of PCOs, the satisfaction proportion toward postpartum care and baby care are both above 60%. The illeqal nature of the PCOs is a most important issue and deserves more attention from the authorities.

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