初產婦於產後初期的關注內容及衛教需求之現況分析

本研究為前趨性研究，主要探討初產婦於產後初期的關注內容及衛教的需求。研究採用自製結構式問卷，於初產婦產後1-3天收案，以立意取樣收集中部四所教學醫院產後病房之初產婦，共取得有效樣本數200人。研究結果發現: ( 1 )初產婦於產後初期的關注內容以「嬰兒照顧方面」最多，「與家人互動方面」次之，「自我照顧方面」最少; 對產後衛教的需求以「嬰兒照顧方面」最高，「自我照顧方面」次之，「與家人互動方面」最低。( 2 )初產婦對自我照顧方面的關注內容及衛教需求以「個人衛生的維持」、「子宮恢復及子宮按摩」、「生產傷口的照顧」為優先項目;對嬰兒照顧方面以「正常的呼吸型態」、「黃疸的照護」、「臍帶的照護」、「溢、吐奶的處理」及「保暖的方法」為主要優先項目;在與家中成員互動方面多以「與先生互動」有關。( 3 )初產婦最希望獲得產後知識的來源是醫護人員。藉由研究結果提出討論及建議，以供相關病房做為日後設計產後衛教計劃之參考。

關鍵字

初產婦；產後初期；關注；衛教需求

並列摘要

This was a prior investigation. The purpose of the study was to explored the primiparas' concerns and knowledge needs during the early postpartum. A structured questionnaire contained 3 items that related how important and necessary for primiparas to learned before discharge. 200 primiparas were administered during their postpartum 1-3days from the postpartum units in 4 regional hospitals in the middle of Taiwan. The results revealed that: (1) The concerns of caring for the baby was the most important, interacting with family members was the second and caring for one's self was less.The knowledge needs of caring for the baby was also the priority, caring for one's self was the second and interacting with family members was the last. (2) The priority topics of concerns and knowledge needs of caring for one's self by primiparas were personal hygiene, uterine massage and recovery, care of delivery wound. Topics of caring for the baby were normal respiratory pattern jaundice care, cord care, care of overflow or vomitting, baby's dressing. Topics of interacting with family members were related to interact with her husband. (3) Most primiparas hoped to accept postpartum knowledges from doctors and nurses.

並列關鍵字

primiparas ； early postpartum ； concerns ； knowledge needs

參考文獻

陳彰惠等譯(1997〉，《產科護理學》（下冊），頁1169-1254，臺北：華杏。(譯自: Katharyn, A.M., & Laura, R.M. (1994), Maternal and Neonatal Care: Family-Centered Care (3rd ed). J.B. Lippincott Company. Philadelphia.)。