母嬰共照與母嬰分照對親子同室滿意度差異之研究

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Please use this identifier to cite or link to this item: http://140.128.103.80:8080/handle/310901/24049

Title:	母嬰共照與母嬰分照對親子同室滿意度差異之研究
Other Titles:	The Postpartum Women Satisfaction of Couplet Care Compared to Traditional Rooming-in Nursing in Taiwan Hospital
Authors:	梁慧婷 Liang, Hui-Ting
Contributors:	鄭辰仰 Cheng, Chen-Yang 工業工程與經營資訊學系
Keywords:	親子同室;產婦滿意度 Rooming-in Care;Maternal Satisfaction
Date:	2013
Issue Date:	2014-02-19T06:58:49Z (UTC)
Abstract:	親子同室能讓產婦提早學習育嬰技巧、有助於母乳哺餵的成功及延長母乳哺育的時間，並使嬰兒獲得營養與增強免疫力(Sharifah, Lee,& Ho,2007；張靖梅、林獻鋒，民98) 。現今大部份醫療院所親子同室執行的護理方式仍為傳統母嬰分開照護為多，常造成護理指導時機不合宜、護理指導內容未一致性、有時無法顧及個案是否瞭解等。因此若能改以母嬰共照執行親子同室，護理人員同時照護產婦與嬰兒，不僅對產婦產後的護理指導及嬰兒方面的照護，甚至返家後注意事項，皆可由產婦的需求給予完整的護理指導，避免重複或遺漏。但國人對於親子同室礙於傳統中國坐月子的觀念及舊有習俗禁忌，以至於醫療院所親子同室執行率偏低及臨床實施面的諸多阻力與抱怨，在缺乏本土母嬰共照實施對執行親子同室照護的相關研究下，究竟以母嬰共照實施親子同室對母育能力是否有差異？在照護品質滿意度是否有差異？環境與醫護人員支持是否影響母嬰共照則成為本研究探討之焦點。本研究採調查研究法，資料收集期間為101年12月至102年2月，採方便取樣選取懷孕36週以上生產、無嚴重病史者、執行親子同室之產婦，共計176位為研究對象，研究工具以結構式問卷於產婦執行親子同室48小時後出院當日進行資料收集。以描述性及推論性統計分析，研究結果顯示母嬰共照執行親子同室在母育能力、照護品質有顯著差異；環境與醫護人員支持可增加母嬰共照執行親子同室認同度。因此醫療機構預提升親子同是滿意度與執行率可以母嬰共照模式推行親子同室。 Implementing rooming-in can help postpartum women to achieve successful breastfeeding, and early learning baby care skills. Most hospitals now perform traditional nursing care with rooming-in in which maternity nurses care for the mother, and nursery nurses care for the infants. However, in the traditional rooming-in, mothers and infants are viewed as an individual in both physical and psychosocial needs, and instruction procedures and practices are providing by nurses rather than to the personal needs of mothers and infants. In addition, it may cause inconsistent guidance because maternity nurses communicate with obstetricians and nursery nurses communicate with pediatricians. Couplet care is a form of room-in nursing in which the mother and her infants are cared for by one nurse. The quality of room-in nursing would be improved because only one nurse would be aware of both the mother's and infant's condition, and duplication or omission of nursing servcies can be avoid. The aim of this study was to compare baby care skills, maternal satisfaction, and environment factors with two types of nursing care, traditional rooming-in nursing versus couplet nursing care. Ninty two and eighty four postpartum women forms traditional rooming-in (study), and couplet nursing care (control) groups respectively. Descriptive and inferential statistical analysis were performed. The result showed that the scores in baby care skills, and maternal satisfaction were highter within traditional rooming-in care. Environment and caring nurses supports could increase the acceptence of adopting couplet nursing care. In addition, a historical data of traditional rooming-in and couplet care nursing allocation indicates that nursing labors could be reduced with the decreasing birth rate. In conclusion, hospitals could improve maternal satisfaction and reducing nursing labors by adoption the couplet care model.
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