提升準爸爸陪產滿意度之改善專案

A Project to Improve Expectant Father's Satisfaction During Labor and Delivery

臺北市政府衛生局於1999年開始推行「準爸爸陪產計劃」，而生產過程由配偶陪產可減少產婦不安情緒及增加準媽媽的自信心。2013年3月1日至3月15日針對本單位準爸爸進行陪產滿意度調查僅達39%而可能影響陪產意願，故本專案旨在提昇準爸爸的陪產滿意度。以訪談法及調查方法進行分析原因：缺乏準爸爸陪產照護標準、陪產護理指導完整性不足，及缺乏陪產用物指導與合宜更衣室設備。經文獻查證及小組討論，制定「準爸爸陪產流程」、「陪產須知及衛教單張」、主動指導「陪產袋」使用、「產前雙親在職教育課程」等方案。經方案的實施結果顯示準爸爸陪產照護整體滿意度由39.25%提升至91.10%，達到專案目的，藉此專案增進家庭凝聚力，以家庭為中心的產科護理宗旨，提升照護品質。

According to the health policy of ＂expectant father presenting during labor and delivery＂ proposed by the Bureau of Health of Taipei City Government in 1999, maternal anxiety can be reduced, as well as mother’s self-confidence increased, by having expectant father present during labor and delivery. In our department, the survey of expectant father's satisfaction between March 1^(st) and March 15^(st) of 2013 was only 39.25%. The low satisfaction may adversely affect the willingness of expectant father's accompany. The purpose of this project was to improve the expectant father's satisfaction during labor and delivery. This project employed both qualitative interview and questionnaire survey, and the findings were as followed: the absence of standard of care for expectant fathers, the ineffectiveness of nursing instructions and the lack appropriate dressing equipment. Upon literary review and group discussion, this project drafted a standard procedure for expect father during labor and delivery, a notice on related information and a health education leaflet, and then instructed expectant fathers on the use of ＂labor and delivery bag for expectant fathers＂, as well as ＂on-the-job prenatal parental education＂. The implementation of the project successfully increased the rate of expectant father's satisfaction during labor and delivery from 39.25% to 91.10%. We herein expect the project to improve the cohesion among family members and raise the quality of care via family-oriented goal.