- 期刊
提升24小時母嬰同室執行率之改善方案
An Improvement Plan to Increase the Achieving Rate for the 24 Hour Mother-infant Rooming-in
摘要
世界衛生組織積極推廣實施24小時母嬰同室，乃因其有助於成功哺餵母乳；雖本院爲母嬰親善醫院，但24小時母嬰同室執行率僅14.6%，經調查發現執行率偏低的原因有：護理人員探視頻率少，無法立即給予諮商與協助、產婦覺得夜間起來哺乳太累、護理人員衛教資訊不足，如奶水分泌簡介及夜間哺乳的好處及重要性。爲響應國家衛生政策，提升本院24小時母嬰同室執行率達母嬰親善醫院之平均率(18.8%)，自2007年7月1日～10月31日執行專案改善，採取的解決方法爲製作「認識母嬰同室流程及好處」衛教海報、製作「24小時母嬰同室的優點」護理指導單張、修訂執行母嬰同室衛教標準、類母乳輔助器的使用、統一母嬰同室執行時間。透過改善措施實施後，本院24小時母嬰同室執行率由14.6%提升爲28%，成功幫助產婦哺餵母乳及延長產後哺乳期，本專案結果及相關措施，可以提供各醫療院所在推展母嬰同室及母乳哺育政策時之參考。
並列摘要
In order to achieve successful breast feeding plan, the 24-hour rooming-in mother-infant is essential. It is also a goal that the World Health Organization is continuing to drive towards. Our hospital had a baby friendly environment, but the achieving rate of 24 hour mother-infant rooming in was only 14.6%. After a thorough investigation on this low achieving rate, there were many reasons affecting this rate, including few number of visits by nursing personnel, no immediate consultation and assistance, and mothers' exhaustion from late night lactation, nursing personnel's insufficient knowledge of health education, such as introduction on lactation and advantages and importance of late night lactation. In this study, we developed few methods to increase the achieving rate of 24 hour mother-infant rooming in up to 18.8%, attaining the standard of a baby-friendly hospital. From July 1(superscript st) to October 31(superscript st) 2007, an improvement project was implemented, which included sticking posters explaining the procedures and the benefits of mother-infant rooming in, and brochures on the advantages of 24 hour mother-infant rooming in. In addition, a revision was done regarding the implementation of health education standard of 24 hour mother-infant rooming in, employing breast feeding accessories, and providing a standard time for mother-infant rooming in. As a result, the achieving rate of the 24 hour mother-infant rooming in increased to 28% from 14.6%, successfully assisted these mothers in breast feeding plan and increase the period of postpartum lactation. The result of the project and its related measures can provide a reference for medical centers in its promotion of mother-infant rooming in and lactation policies.