運用多元教學提升初產婦對觀察室嬰兒返家照護知能

Using Multiple Teaching Method to Promote Babies Care for Primipara

護理師常接到嬰兒曾入住觀察室之初產婦返家後嬰兒照護諮詢電話而引發動機。調查初產婦對觀察室嬰兒返家照護認知及技能正確率低，原因為：生產完太累，影響學習、坐月子習俗不常來看嬰兒，學習時間不足；護理師教導多以口頭敘述且一次講太多內容；病室噪音多，干擾被學習；教材之手冊文字多，不易參閱；訪客時間限制，學習時間不足。專案目的為提升初產婦對觀察室嬰兒返家照護認知及技能正確率。藉多元化衛教方式、使用嬰兒照護之數位教材、使用單獨衛教及實施彈性陪嬰制。經改善後，初產婦對觀察室嬰兒返家照護認知正確率提升為90.2%；技能正確率提升為90.6%，本專案可作為護理師對初產婦衛教參考。

"The project was conducted because the nurses in new-born observation room usually need to answer the baby-care consultation calls from primipara after baby’s discharge. Our study revealed that first, the correctness of baby care was generally low in primipara due to tiredness, confinement culture, and insufficient learning time. Second, nursing staff provided the information to primiparas only once at discharge. Third, the environment was noisy and the teaching session was easily interrupted. Fourth, teaching materials were wordy with less pictorial demonstration, which were difficult to understand. Thus, a series of improvement strategy was implemented in the project. They included applying multiple teaching methods, using digital textbooks, setting up a dedicated room for education, and creating a flexible duration of baby-care. Our results showed that accuracy of knowledge and skills of baby-care for primiparas increased from 66.5% to 90.2% and 43.1% to 90.6% , respectively. The project can be a reference for providing health education to primiparas."