提升產後病房護理人員親子同室護理指導成效

An Improvement Plan to Increase the Effects of Mother- Infant Rooming-in Care Guide

10.6530/YYN.202007_14(2).0006

胡曉玲(Hsiao-Ling Hu)；王美珍(Mei-Chen Wang)；陳俐伶(Li-Ling Chen)；李易靜(I-Ching Li)

母嬰親善 ； 親子同室 ； 護理指導成效 ； 產後病房 ； baby-friendly policy ； rooming-in ； nursing instruction program ； postpartum ward

源遠護理

14卷2期（2020 / 07 / 01）

48 - 54

繁體中文

世界衛生組織大力提倡產後執行親子同室有助於成功的母乳哺餵，本院配合母嬰親善政策，於產後全面實施24小時親子同室。然而，若無法提供完整的護理指導及照護流程，不僅造成產婦照護壓力，亦會降低其住院滿意度，故本專案目的旨在改善產後親子同室護理指導成效。本病房為產後綜合科病房，2013年間執行產後親子同室率雖達100%，但產後護理指導完整率僅72.4%，護理指導滿意度為80.9%，產科同仁臨床技能考核成績僅74.2分，產婦自我照護自信度僅81.2%、自我照護能力得分為73.0分。經由現況分析及文獻查證後，進行改善方案：㈠改善產後病房產後照護作業流程；㈡提升產後病房護理人員專業能力；㈢發展產後病房創意及整合性護理指導。經實施改善方案後，產後親子同室護理指導完整率提升為97.8%，護理指導滿意度提升至95.8%，產科同仁臨床技能考核成績提升為92.3分，產婦自我照護自信度提升為93.4%，自我照護能力得分提升為93.0分。顯示本專案經由正確解析，透過實際面及制度面進行改善行動，有效提升產後親子同室護理指導成效以達到專案的目的。

This project aims to improve the effects of postnatal health education in a postpartum ward that had implemented the 24 hours mother-infant rooming-in policy. World Health Organization (WHO) proposed that the postpartum mother-infant rooming-in will contribute to the success of breastfeeding. Audit of the study ward showed that after the initial implementation of baby-friendly policy, 100% mother-infant rooming- in during the postpartum period; however, the satisfaction with nursing care was 80.9%, the staff clinical competency was 74.2, the patients' self-care confidence was 81.2% and their self-care ability was 73. The improvement project includes: (a) improve postpartum care processes program, (b) enhance postnatal ward nursing competence, and (c) develop creative and integrated health educational programs. After the improvement interventions, mother-infant rooming-in health education completion rate increased from 72.4% to 97.8%, satisfaction with nursing care increased from 80.9% to 95.8%, nursing colleagues clinical skills assessment scores raised from 74.2 points to 92.3 points, the confidence of self-care increased from 81.2% to 93.4%, and the ability of self-care score raised from 73.0 to 93.0 points. The result of this project validated that these measures effectively improved the nursing care and the success of mother-infant rooming-in program.

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