親子同室執行之挑戰與策略

Challenges and Strategies for Rooming-in Policy

母嬰親善醫院十步驟被視為成功母乳哺育的準則，其中「執行親子同室」的政策雖有益母嬰健康，但由於產後初期婦女身心不適、坐月子文化與親子同室的理念衝突、產後照護政策與照護環境沒有符合婦女需求，故一直窒礙難行。基於Kolcaba的舒適理論，建議：一、應有多元評估機制和個別性照護措施，重視並緩解產後初期婦女之身心不適|二、健康照護者應理解坐月子文化對婦女產後照護的影響，察覺獨特需求及適應模式，善用家庭支持助力鼓勵親子同室，消弭坐月子文化與親子同室之衝突|三、營造以婦女為中心之產後照護政策與親善環境，政策應更具彈性並改善照護環境，期以克服障礙，讓此政策長久有益母嬰健康。

The ten-step baby-friendly hospital is regarded as a guideline for successful breastfeeding. ''Practice rooming-in'' is a good policy for the health of mothers and their infants. However, women in the early postpartum period suffer from physical and psychological distress. Moreover, a conflict exists between the traditional postpartum ritual and rooming-in practice and the postpartum care policies and environment do not meet postpartum women's needs. Obviously, executing the policy is sometimes difficult. In order to improve the current dilemma, based on Kolcaba's comfort theory, we offer three suggestions for postpartum health care providers, including (1) applying the multiple evaluation criteria and individualized postpartum care strategies to alleviate women's postpartum discomfort| (2) understanding the effects of the postpartum ritual on women's postpartum care, being aware of women's individual needs and adaptation, operating family support to facilitate the ''rooming-in'' practice, and then eliminating the conflict between postpartum ritual and the ''rooming-in'' practice| and (3) fostering a women-centering postpartum care policy and maternal friendly postpartum environment. More flexible postpartum care policy and friendly postpartum environment can facilitate the policy and beneficial to women and infants' health.