- 期刊
提昇產後護理機構產婦執行新生兒沐浴完整性之專案
A Project to Promote the Integrity of Maternal Newborn Bathing in Postpartum Nursing Care Institution
摘要
新生兒沐浴是產婦必備之育嬰技能，若產婦執行不正確，可能造成新生兒體溫過低、皮膚燙傷紅腫及臍帶感染等傷害，亦會使產婦感焦慮與挫折，降低對母親角色的信心，故本文旨在提昇產婦執行新生兒沐浴完整性，期望確保返家後對嬰兒之照護能力。調查發現工作人員之新生兒沐浴指導完整性及產婦執行之完整性分別為88.9%及75.4%，而產婦對沐浴護理指導滿意度平均僅2.93分（滿分5分）；藉由製作新生兒沐浴DVD影片、每月安排團體衛教、查核人員執行指導完整性、評估產婦執行之情形等策略。結果產婦之滿意度提昇至4.62分、人員執行指導完整性提昇至100%，而產婦之新生兒沐浴完整性提昇至92.1%。
並列摘要
Newborn bathing is an essential baby-care skill for postpartum mother. Incorrect execution can lead to newborn injury, such as hypothermia, skin burn, erythematous change and swelling, and umbilical cord infection. These adverse outcomes may induce maternal anxiety and depression in postpartum women and reduce their confidence in assuming maternal role. The purpose of this article was to promote the integrity of maternal newborn bathing to assure the competence in newborn care. A study found the integrity of staff instruction for newborn bathing and postpartum women performance were 88.9% and 75.4% respectively. However the satisfactory rate of postpartum women on newborn bathing instruction was only 2.93 (out of 5). Several nursing measures were implemented in response to the situation, and they were: producing DVD film for newborn bathing, arranging monthly group education program, examining the integrity of staff instruction, and evaluating maternal practice. As result, the satisfactory rate from postpartum women rose to 4.62, the integrity of staff instruction rose to 100%, and the integrity of maternal newborn bathing rose to 92.1%.