提升產後住院純母乳哺餵率

An Improvement in the Rate of Breastfeeding for Women With Postpartum During Hospitalization

盧曉貞(Hsiao-Chen Lu) ； 洪嘉藝(Chia-I Hung) ； 洪雅琪(Ya-Chi Hung)

《馬偕護理雜誌》 16卷2期 (2022/07) Pp. 26-35

https://doi.org/10.29415/JMKN.202207_16(2).0003

摘要

本單位為婦產科病房，於2016年第二季純母乳哺餵率由41.3%下降至37.8%，較同儕醫院的54.3%明顯偏低。經資料分析發現產後住院純母乳哺餵率低，進而發現護理人員產後純母乳哺餵護理指導不一致，導致產婦對於護理指導滿意度下降，因此本專案運用品質改善手法，錄製多媒體影音光碟教學、增設母乳哺餵諮詢專線、修訂母乳哺餵護理指導作業標準及首創特色的母乳口訣三角立牌等改善方案後，產後住院純母乳哺餵率提升至48.6%，護理人員產後純母乳哺餵護理指導正確率由61.0%提升至92.0%，滿意度由3.8%提升至4.5%，使更多的產婦及嬰兒受益。

關鍵字

產後住院 ； 純母乳哺餵率

並列摘要

This paper was reported by the personnel of an obstetrics and gynecology ward. In the second quarter of 2016, the rate of breastfeeding had dropped from 41.3% to 37.8%, significantly less than that of peer hospitals (54.3%). A data analysis revealed that the rate of pure breastfeeding at postpartum during hospitalization was relatively low. Further examination revealed that breastfeeding guidance at postpartum from nursing personnel has been inconsistent, resulting in a drop in postpartum women's level of satisfaction toward nursing guidance. This study has adopted a multimedia audiovisual CD tutorial, breastfeeding consultation hotline, a revision of the breastfeeding nursing guidelines, and innovative triangular signs displaying mnemonic phrases for breastfeeding education in order to improve the quality of nursing care in breastfeeding. The results revealed that the rate of pure breastfeeding at postpartum during hospitalization has improved from 37.8% to 48.6%, the accuracy of breastfeeding guidance from nursing personnel has increased from 61.0% to 92.0%, and postpartum women's level of satisfaction with nursing guidance has boosted from 3.8% up to 4.5%. The measures implemented in this study offer many benefits for postpartum women and their infants considerably.

並列關鍵字

postpartum during hospitalization ； breastfeeding