提升剖腹產父嬰肌膚接觸率之改善專案

A Project to Improve the Rates of Skin-to-skin Contact with the father after Cesarean Section

親子肌膚接觸不但可改善新生兒的生命徵象、哭鬧及餵食前之行為，且可增加親子互動機會。經查閱2007年1月至6月的剖腹產產婦病歷後，發現因護理人員與產婦因素及相關醫療人員對肌膚接觸之時機、方式、流程不熟悉，以致執行率低；僅19.56%，且過程無父親之參與，故專案目的為提升剖腹產父嬰親子肌膚接觸率，經實施跨領域政策宣導、父嬰親子肌膚接觸的標準流程及成功父嬰肌膚接觸個案的經驗分享，並舉辦產前門診肌膚接觸相關衛教與實施護理人力臨時調派原則後，父嬰肌膚接觸率提升至98.64%，且父親對親子肌膚接觸之平均滿意度也非常高，達4.39分（總分＝五分）。本專案之實施除能落實親子肌膚接觸的政策外，亦成功地提升親子關係，使母嬰親善的效用臻至完善。Skin-to-skin contact after birth can not only stabilize the vital signs, improve crying and prefeeding behaviors for newborns, but also increase the opportunity for interactions between the mother and child. After reviewing cesarean birth mothers' charts from January to June of 2007, the results showed that there are many factors associated with low skin-to-skin rates (19.5%), including nurses and nurse practitioners' factors, mothers' personnel reasons, and health care providers' unfamiliarity with the time, methods, and operational procedures. Thus, the aim of this project was to increase the rate of skin-to-skin contact with the father after cesarean section. After implementation of a multidiscipline promotion policy, standard of skin-to-skin contact with father, and a sharing experience group with successful fathers, holding education at the outpatient department, and adjusting nursing staffing standard, the rate of skin-to-skin contact increased to 98.64%. In addition, fathers felt very satisfied with the skin-to-skin contact care. The mean score was 4.39 points (total=5 points). This project can not only practice the skin-to-skin contact with father after birth, but also achieve a success to improve the outcomes of skin-to-skin care.