提昇越南籍婦女周產期照護成效之改善方案

Project to Improve Perinatal Care Effectiveness in Vietnamese Women

隨家庭結構之改變，台灣外籍配偶的人數日益增加，尤其是來自越南的女性居多。然越南籍配偶年紀輕，身心尚未成熟下迅速懷孕，各種的生活適應不利於自身健康的維持及提供良好的新生兒照護。本專案旨在瞭解越南籍婦女周產期問題，以提升其照護成效。經現況分析後發現因缺乏完善的周產期照護流程、無越南語護理指導工具及語言溝通不良，導致越南籍產婦在孕產過程獲得之護理指導成效偏低及對孕產服務滿意度僅1.64分（總分4分）。經(1)修訂越南籍婦女周產期照護流程；(2)製作越南語溝通字卡、越南語護理指導單張、越南語孕產注意事項CD、新生兒沐浴與母乳哺餵技巧VCD；以及(3)與社區共同舉辦越南籍媽媽教室後，越南籍孕婦定期產檢率由改善前26%提升至改善後83.9%、待產期執行拉梅茲呼吸法正確率由43%提升至80.6%，產後執行子宮按摩正確率由46%提升至90.3%、新生兒沐浴正確率由39%提升至77.4%及哺餵母乳正確率由57%提升至100%，對孕產服務滿意度提升至3.83分，達專案目的。本專案的實施除能有效提升越南籍婦女周產期照護的成效外，亦能提升其對周產期間護理服務之滿意度。

The number of new immigrant female spouses, particularly from Vietnam, continues to increase steadily in Taiwan. However, these women are nearly all young and become pregnant early, while still in an immature psychosomatic status. Furthermore, various life adaptations are stacked against their maintaining good personal health or providing good healthcare to their babies. Therefore, the aim of this project was to understand the problems faced by Vietnamese women during the perinatal period in order to improve care effectiveness. Following data analysis, problems identified included lack of completeness of perinatal care processes, a dearth of education tools in the Vietnamese language and poor communications, which resulted in poor nursing education outcomes and a low 1.64-point satisfaction with nursing service (total = 4 points). After (1) revising perinatal care processes, (2) producing Vietnamese communication cards, nursing education pamphlets, CD of notices during pregnancy, and video-CDs for baby bathing and breast feeding skills, and (3) holding mother classes in cooperation with health stations, perinatal checkups during pregnancy increased from 26% to 83.9%; proper practice of Lamaze during labor rose from 43% to 80.6%; accurately performed postnatal uterus massage increased from 46% to 90.3%; use of proper baby bathing techniques rose from 39% to 77.4%; proper breastfeeding increased from 57% to 100% and satisfaction with nursing services increased to 3.78 points. These improvements achieved project aims. This project not only improved the effectiveness of perinatal care for Vietnamese women, but also improved their satisfaction with nursing services.