提升護理人員執行早產兒支持性擺位之正確率

Improvement of Paramedics' Accuracy on the Operation of Supportive Positioning of Premature Infant

曹佩琦(Pei-Chi Taso) ； 陳揚瑜(Yang-Yu Chen) ； 林靜宜(Ching-Yi Lin) ； 吳雅苓(Ya-Ling Wu) ； 許馨方(Hsin-Fang Hsu) ； 趙秋華(Chiu-Hua Chao) ； 陳品蓁(Pin-Jen Chen) ； 呂明蕙(Ming-Huei Lu)

《馬偕護理雜誌》 7卷1期 (2013/01) Pp. 32-40

https://doi.org/10.29415/JMKN.201301_7(1).0004

摘要

早產兒支持性擺位是以圍巢或輔助物製造一個宛如媽媽子宮內的環境，維持早產兒屈曲的姿勢。現況調查發現缺乏相關的在職教育、病房未建立早產兒支持性擺位標準、欠缺擺位輔助支托物製作標準及品質監測辦法。透過專案改善，舉辦早產兒擺位在職教育、制定及宣導早產兒支持性擺位標準及擺位輔助支托物製作標準、創新設計新款圍巢套及頭圈、製作及張貼海報、提醒標語及擺位圖卡、並執行品質監測，使早產兒支持性擺位各項正確率皆提升逾80%，擺位之正確率由改善前的39.68%提升至改善後的91.29%，早產兒出院時頭顱骨歪斜發生率由改善前的60%下降至改善後的10%，提升照護品質。

關鍵字

早產兒 ； 支持性擺位

並列摘要

Supportive positioning of premature infant is using the nesting or supportive item to imitate an environment similar to the mother's womb for the maintenance of the premature infant's bending position. According to the current survey, paramedics are lacking the relative knowledge of in-service education, supportive positioning of premature infant in ward, standard of the positioning supportive holder, and measures of quality monitoring. The improvement program of this project includes: relative in-service education of positioning; regulation and promotion of the standard in supportive positioning of premature infant; regulation and promotion of the production standard for the positioning supportive holder; innovative design of new nesting cover and head collar; creating and pasting posters, reminder posters and positioning picture cards, and operation of quality monitoring. Through the improvement program, the accuracy for the supportive positioning of premature infant is increased to 80%, and the accuracy of positioning improved from 39.68% to 91.29%. The incidence rate of deformational plagiocephaly in premature infant when discharged from 60% to 10% after the improvement, and the quality of care is improved.

並列關鍵字

premature infant ； supportive positioning