運用多元教學提升初產婦對觀察室嬰兒返家照護知能

Using Multiple Teaching Method to Promote Babies Care for Primipara

10.6386/CGN.202112_32(4).0005

鄭雪玉(Hsuesh-Yu Cheng)；潘文姿(Wen-Tzu Pan)；吳億雯(I-Wen Wu)；蔡欣諭(Shin-Yu Tsai)；蔣玉滿(Yu-Man Chiang)

多元教學 ； 初產婦 ； 嬰兒照護 ； Multiple Teaching Methods ； Primipara ； Babies Care

長庚護理

32卷4期（2021 / 12 / 01）

48 - 59

繁體中文

護理師常接到嬰兒曾入住觀察室之初產婦返家後嬰兒照護諮詢電話而引發動機。調查初產婦對觀察室嬰兒返家照護認知及技能正確率低，原因為：生產完太累，影響學習、坐月子習俗不常來看嬰兒，學習時間不足；護理師教導多以口頭敘述且一次講太多內容；病室噪音多，干擾被學習；教材之手冊文字多，不易參閱；訪客時間限制，學習時間不足。專案目的為提升初產婦對觀察室嬰兒返家照護認知及技能正確率。藉多元化衛教方式、使用嬰兒照護之數位教材、使用單獨衛教及實施彈性陪嬰制。經改善後，初產婦對觀察室嬰兒返家照護認知正確率提升為90.2%；技能正確率提升為90.6%，本專案可作為護理師對初產婦衛教參考。

The project was conducted because the nurses in new-born observation room usually need to answer the baby-care consultation calls from primipara after baby's discharge. Our study revealed that first, the correctness of baby care was generally low in primipara due to tiredness, confinement culture, and insufficient learning time. Second, nursing staff provided the information to primiparas only once at discharge. Third, the environment was noisy and the teaching session was easily interrupted. Fourth, teaching materials were wordy with less pictorial demonstration, which were difficult to understand. Thus, a series of improvement strategy was implemented in the project. They included applying multiple teaching methods, using digital textbooks, setting up a dedicated room for education, and creating a flexible duration of baby-care. Our results showed that accuracy of knowledge and skills of baby-care for primiparas increased from 66.5% to 90.2% and 43.1% to 90.6%, respectively. The project can be a reference for providing health education to primiparas.

1. 范姜玉珍, Y. C.,顏雅卉, Y. H.,陳淑雯, S. W.(2019)。護理指導資訊化輔助降低導尿管及非導管之泌尿道感染率之改善專案。護理雜誌，66(2)，77-84。
   連結：
2. Guerra-Reyes, L.,Christie, V. M.,Prabhakar, A.,Harris, A. L.,Siek, K. A.(2016).Postpartum health information seeking using mobile phones: Experiences of low-income mothers.Matern Child Health Journal,20(Suppl 1),13-21.
3. Kristensen, I. H.,Simonsen, M.,Trillingsgaard, T.,Pontoppidan, M.,Kronborg, H.(2018).First-time mothers' confidence mood and stress in the first months postpartum. A cohort study.Sexual and Reproductive Health,17,43-49.
4. Lai, Y. L.,Hung, C. H.,Stocker, J.,Chan, T. F.,Liu, Y.(2015).Postpartum fatigue, baby-care activities, and maternal-infant attachment of vaginal and cesarean births following roomingin.Applied Nursing Research,28(2),116-120.
5. Law, K. H.,Jackson, B.,Guelfi, K.,Nguyen, T.,Dimmock, J. A.(2018).Understanding and alleviating maternal postpartum distress: Perspectives from first-time mothers in Australia.Social Science & Medicine,204,59-66.
6. Maehara, K.,Mori, E.,Tsuchiya, M.,Iwata, H.,Sakajo, A.,Tamakoshi, K.(2016).Factors affecting maternal confidence and satisfaction in older Japanese primiparae during postpartum hospital stay.International Journal of Nursing Practice,22(Suppl 1),14-21.
7. Presti, C.R.(2016).The flipped learning approach in nursing education: A literature review.The Journal of Nursing Education,55(5),252-257.
8. Sakajo, A.,Mori, E.,Maehara, K.,Maekawa, T.,Ozawa, H.,Morita, A.,Iwata, H.(2014).Older Japanese primiparas' experiences at the time of their post-delivery hospital stay.International Journal of Nursing Practice,20(Suppl 1),9-19.
9. Verbiest, S.,McClain, E.,Stuebe, A.,Menard, M. K.(2016).Postpartum health services requested by mothers with newborns receiving intensive care.Matern Child Health Journal,20(Suppl 1),125-131.
10. Wiklund, I.,Wiklund, J.,Pettersson, V.,Bostrom, A. M.(2018).New parents' experience of information and sense of security related to postnatal care: A systematic review.Sexual and Reproductive Health,17,35-42.
11. 錢才瑋, T. W.,林為森,賴豐傑, F. J.(2015)。電腦化適性測驗提升病人的健康識能。醫療資訊雜誌，24(3)，51-60。