創新窈窕運動轉盤提升產婦產後運動完整率

Using an Innovative Fitness Sports Turntable to Enhance Postpartum Exercise Completion Rate

產後運動對產後婦女整體健康有正向效益，本專案旨在提升產婦產後運動完整率；調查產婦產後運動完整率平均僅10.9%，滿意度5.3分，護理師產後運動認知平均僅35.8分，滿意度4.6分；原因為內容太多記不住、自覺部分運動返家執行不需教、無定期審核、缺乏輔具、輔助書面資料不完整等。經創意設計窈窕運動轉盤結合QR Code影音檔、簡易運動口訣及重要性標語、增修圖文並茂護理指導內容、修定常規列為出院評值、制定在職教育，並納入新進人員學習必要項目及持續品質監測等，產婦產後運動完整率提升至99.0%，滿意度9.1分，護理人員認知得分提升為97.7分，滿意度9.1分，故適當的輔助工具及政策，可提升產婦產後運動完整率和滿意度，且作為類似單位參考。

Postpartum exercises provide overall health benefits. Aiming to improve postpartum exercise completion rate, this project conducted a survey to reveal that the mean postpartum exercise completion rate and satisfaction score of postpartum women were 10.9% and 5.3, respectively. Another survey on nurses showed that nurses scored 35.8 on average in terms of their knowledge of postpartum exercise and had a mean satisfaction score of 4.6. The reasons given by participants that explain the low completion rate and inadequate knowledge score include (1) postpartum exercises being too intricate and thus difficult to memorize, (2) participants perceiving that postpartum exercises can be completed independently at home (without instruction), (3) the absence of regular reviews, (4) the lack of auxiliary equipment, and (5) the noncomprehensive nature of existing supplementary documents on postpartum exercises. The project's intervention includes (1) combining an innovative fitness sports turntable with audio files that are accessible through QR code; (2) introducing simple exercise phrases and key instructions; (3) adding text and image contents that aid the nursing practice, (4) revising general regulations pertaining to the evaluation of fitness for hospital discharge; (5) establishing in-service education mechanisms; (6) incorporating postpartum exercise-related knowledge as mandatory items into the orientation training of new recruits; (7) and implementing continual quality monitoring mechanisms. After the intervention, the mean postpartum exercise completion rate and satisfaction score were increased to 99.0% and 9.1, respectively, and the mean knowledge score and satisfaction score of nursing personnel were increased to 97.7 and 9.1, respectively. Therefore, the adequate provision of auxiliary equipment and hospital policies can improve postpartum exercise completion rate and satisfaction. The project findings may serve as a reference for health care units.