運用SOFT工具提升產後親子立即皮膚接觸照護完整率

Improving the Coverage Ratio of Immediate Maternal-Newborn Skin Contact Care After Childbirth by Using SOFT Tools

曾郁心(Yu-Hsin Tseng)；楊詩蘋(Shin-Ping Yang)；李秋桂(Chiu-Kuel Li)

母嬰親善 ； 皮膚接觸 ； 母乳哺育 ； baby friendly hospital ； breastfeeding ； skin-to-skin

志為護理-慈濟護理雜誌

14卷5期（2015 / 10 / 01）

115 - 126

繁體中文

本專案旨在運用SOFT工具改善自然產後親子立即皮膚接觸照護完整率。經調查發現產後親子立即皮膚接觸照護完整率僅達62%，故進行此專案。分析導因有：1.醫護人員認知率低70%；2.缺乏自然產後親子立即皮膚接觸標準作業流程；3.缺乏查核機制；4.產房空調冷及待產衣設計不良。經改善1.教育及宣導；2.依據親子皮膚接觸SOFT執行工具建立標準作業流程；3.建立查核機制；4.利用電暖爐等設備保暖並改良待產衣；5.產前及產中給予護理指導等。經實施後產後親子立即皮膚接觸照護完整率由62%提升至98%，顯示本專案之改善方案能有效達成目的，期望藉此專案的成效能持續提升親子皮膚接觸照護品質，進而提升母乳哺育率。

This project aimed to improve the completion rate of early postpartum skin-to-skin contact by adopting the SOFT approach. The project was launched in light of recent investigations, which had indicated that the completion rate of early postpartum skin-to-skin contact was only 62%. Factors analysis revealed the following issues: 1) nurses' cognition rate as low as 70%; 2) lack of early postpartum skin-to-skin contact SOP for nature delivery procedure; 3) lack of audit processes; and 4) air conditioning in the delivery room too cold and the maternity gown poorly designed. To resolve the issues, the following solutions were implemented: 1) education and advocacy; 2) a SOP based upon the SOFT approach; 3) audit processes; 4) electric heaters with improved maternity gowns; and 5) nursing instructions during prenatal and postpartum. The completion rate was raised from 62% to 98% after the implementation, which indicated that the solutions proposed in the project was effective. We wish the success of the project would continue to increase the completion rate of early postpartum skin-to-skin contact, which in turn increase the rate of breastfeeding.

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