| Summary: | 碩士 === 東海大學 === 工業工程與經營資訊學系 === 101 === Implementing rooming-in can help postpartum women to achieve successful breastfeeding, and early learning baby care skills. Most hospitals now perform traditional nursing care with rooming-in in which maternity nurses care for the mother, and nursery nurses care for the infants. However, in the traditional rooming-in, mothers and infants are viewed as an individual in both physical and psychosocial needs, and instruction procedures and practices are providing by nurses rather than to the personal needs of mothers and infants. In addition, it may cause inconsistent guidance because maternity nurses communicate with obstetricians and nursery nurses communicate with pediatricians. Couplet care is a form of room-in nursing in which the mother and her infants are cared for by one nurse. The quality of room-in nursing would be improved because only one nurse would be aware of both the mother's and infant's condition, and duplication or omission of nursing servcies can be avoid.
The aim of this study was to compare baby care skills, maternal satisfaction, and environment factors with two types of nursing care, traditional rooming-in nursing versus couplet nursing care. Ninty two and eighty four postpartum women forms traditional rooming-in (study), and couplet nursing care (control) groups respectively. Descriptive and inferential statistical analysis were performed. The result showed that the scores in baby care skills, and maternal satisfaction were highter within traditional rooming-in care. Environment and caring nurses supports could increase the acceptence of adopting couplet nursing care. In addition, a historical data of traditional rooming-in and couplet care nursing allocation indicates that nursing labors could be reduced with the decreasing birth rate. In conclusion, hospitals could improve maternal satisfaction and reducing nursing labors by adoption the couplet care model.
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