初產婦母嬰共照與母嬰分照對母育能力及照護品質之比較分析

目的：分析初產婦實施母嬰分照和母嬰共照不同照護模式下對母育能力與照護品質之影響。方法：採便利取樣、橫斷式研究、以臺中市某區域教學醫院產後病房實施親子同室之初產婦，以問卷進行資料收集。問卷發放150份，有效回收137份，回收率91.33%。結果：初產婦實施親子同室照護且在母嬰共照下，母育能力平均分數3.23±0.52分、照護品質平均分數4.23±0.52分及醫療政策與人員支持度平均分數3.89±0.57分；母嬰分照下母育能力平均分數3.16±0.62分、照護品質平均分數4.00±0.60分及醫療政策與人員支持度平均分數3.69±0.62分。兩組結果相較下母嬰共照在照護品質高於母嬰分照之照護（p＜.05），母育能力以及醫療政策與人員支持度較母嬰分照好，但是尚未達統計意義。結論：母嬰共照模式有較高之照護品質，母嬰共照模式在未來的臨床照護是值得推行的。但是是否提升母育能力則有待將來增加樣本數來驗證。

關鍵字

初產婦；母嬰共照；母嬰分照；母育能力；照護品質

並列摘要

Objectives: Analyzing the effects on maternal competence and the quality of care under the different care models of primipara's implementation of couplet care and rooming-in nursing. Methods: Using convenient sampling, cross-sectional research, and primiparous women in the postpartum ward of a regional teaching hospital in Taichung were used to collect data using questionnaires. 150 questionnaires were issued and 137 were effectively received, with a received rate of 91.33%. Results: The average score of maternal competence for primiparas who implemented parent-child care in the same room under couplet care was 3.23±0.52, the average score of care quality was 4.23±0.52, and the average score of medical policy and staff support was 3.89±0.57; The average score of maternal competence under rooming-in nursing was 3.16±0.62, the average score of care quality was 4.00±0.60, and the average score of medical policy and personnel support was 3.69±0.62. Comparing the results of the two groups, the quality of care for couplet care is higher than that of rooming-in nursing care (p＜.05), maternal competence, and medical policy and staff support are better than those of couplet care, but it has not yet reached statistical significance. Conclusions: The couplet care model has a high quality of care. Therefore, the couplet care model is worthy of implementation in clinical care. However, it is necessary to promotes maternal competence by increasing the number of samples to confirm in the future.