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中華職業醫學雜誌

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篇名 The Results of Promoting Breastfeeding in Outpatient Services - an Experience in Taiwan
卷期 25:1
並列篇名 門診促進母乳哺育的台灣經驗
作者 酒小蕙
頁次 023-030
關鍵字 breastfeedingoutpatient department母乳哺育門診TSCI
出刊日期 201801

中文摘要

目的:探討門診推動母嬰親善醫院、婦女親善環境的具體作法及成效。方法:使用描述法,說明推動母嬰親善醫院、婦女親善環境的具體作法,透過滿意度調查,瞭解民眾對服務品質的滿意程度。結果:本院為通過母嬰親善認證醫院,以提升母乳哺餵率為目標,以支持性的政策、衛生教育指導方式,營造親善哺餵環境,在團體護理指導評值「提升自我照顧能力」、「上課的教學方法」滿意程度達100%。在母乳哺育支持團體活動民眾的意見回饋中發現:「1.讓您感受到支持的感覺」、「3.團體帶領人是和善能瞭解您的感受」、「6.當次探討的主題內容很實用」同意程度達100%,證實母乳支持團體確實可提供有用的訊息。在民眾滿意度調查結果發現,整體滿意度由2013年94.8%,2014年提升到95.7%,滿意程度最高的為「護理態度」(100%)。2015年7月住院期純母乳哺餵率為41.9%,較2014年的34.9%提升了7.0%。結論:母嬰親善及婦女友善環境是不容忽視的議題,營造一個舒適性、支持性及安全性的環境,可持續母乳哺育的時間。另可透過滿意度調查持續追蹤及改善,以提高醫院的服務品質,及婦女就醫的滿意度。

英文摘要

Purposes:It aims to investigate the explicit approaches and achievement made by outpatient department for facilitation of the baby-friendly hospital and breastfeeding-friendly environment. Methods:A descriptive method was used to illustrate the explicit approaches for facilitation of the baby-friendly hospital and breastfeeding-friendly environment; meanwhile, a satisfaction survey was conducted to understand the general satisfaction with service quality. Results:The health education and guidance achieved a satisfaction rating of 100% for group-care evaluation for“improving ability for autonomous care”and“education methods”. Surveys completed by members of the public, who support breastfeeding, indicated a 100% acknowledgment rating for“1. Makes you feel supported”,“3. Group leader was sympathetic and understanding of your feelings”, and“6. The topics explored were very practical”. These results suggest that a breastfeeding support group can provide useful information for the participants. Public surveys investigations determined that overall satisfaction increased from 94.8% in 2013 to 95.7% in 2014, with“ attitude of care”(100%) receiving the highest mark. Mothers who purely breast-fed while in hospital care increased to 41.9% in July of 2015 from 34.9% in 2014 (7.0% increase). Conclusions:Baby-friendly and breastfeeding-friendly environment is an imperative issue, as building a comfortable, supportive and safe environment may prolong the period of breastfeeding. Furthermore, continuous follow-up and improvement based on satisfaction survey may also enhance service quality of the hospital as well as female patients’ satisfaction with medical consultation.

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