提升24小時母嬰同室執行率之方案

The Scheme of Improving 24-Hour Rooming-in Rate

24小時母嬰同室的執行，有助於母乳哺餵的成功及延長母乳哺育的時間。本院24小時母嬰同室執行率僅12.8％，經現況調查發現24小時母嬰同室執行率偏低的因素有：作業流程內容不完善、護理人員作業流程執行方式不一致不確實、產婦及家屬對母嬰同室認識不清楚、缺乏母嬰同室之護理指導單張、產科床位不足與病房環境未做管控。為使24小時母嬰同室執行率能提升到20%，擬定五項解決方案為：修訂母嬰同室作業流程、擬定護理人員在職教育課程、製作母嬰同室指導單張、實施母嬰同室團體衛教、修訂病房環境管控方法。方案實施後，護理人員在執行母嬰同室流程不一致及不確實現象有明顯改善，24小時母嬰同室執行率由12.8％提升至24.7％。本專案結果及相關措施提供母嬰親善認證作業之醫療院所，在推展母嬰同室及母乳哺育工作時之參考。

The execution of 24 hours rooming-in helps to the success of the breast feeding, and also increases mother’s competent of baby nurturing. Before the project, the 24-hour rooming-in rate in the study institute was only 12.8%, and influenced by the following factors: the uncertainty of rooming-in procedure; inconsistent implementation of the rooming-in procedure among nursing staff; lack of accurate information of rooming-in among postpartum mothers, family, and nursing staff; insufficient bed supplied and ineffective control in the ward environment. In order to increase the room-in rate to 20%, a five-solution scheme was proposed, including revision of rooming-in procedure, design and implementation of the continuous rooming-in education courses for nursing staff, provision of the information guideline for rooming-in, promotion of positive attitude toward rooming-in among mothers, and revision of the standard of environment control. After implementing the project, the rooming-in rate increased from 12.8% to 24.7%. The findings demonstrated an effective scheme of improving the rooming-in and breast feeding program and provided some indicators for evaluating the outcome of baby-friendly clinics.