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Qual Improv Health Care > Volume 20(1); 2014 > Article
Quality Improvement in Health Care 2014;20(1): 76.
DOI: https://doi.org/10.14371/QIH.2014.20.1.76    Published online July 30, 2014.
미숙아 어머니의 퇴원교육 프로그램 강화활동
이희정, 설현아, 이경남, 서경옥, 문수미, 김기휘
인제대학교 부산백병원 신생아 집중치료 지역센터
Discharge education reinforcement activities for mother of premature infants
Hui-Jeong Lee, Hyun A Soul, Kyeong-Nam Lee, Gyeong-Ok Seo, Su-Mi Moon, Ki-Hwi Kim
Inje university busan paik hospital regional neonatal intensive care center
Abstract
Objectives
Parents of a premature baby feel a pressure on their baby's growth and they are highly in need for proper education. However, the lack of proper education can cause the difficulty of follow-up care and rehospitalization. Currently, methods of education among each nurse are based on verbal explanation and can be often different. Therfore, it is true that the psychological burden is great during education. Hence, by enforcing discharge education activities, we intend to provide information; induce participation of parents; promote the level of performance; standardize education program; and increase the job satisfaction of nurses.
Methods
NICU conducted a questionnaire survey of the demand and satisfaction for discharge education among mothers that left hospital. And before and after the improvement activity, the satisfaction level of mothers and nurses were studied, and rehospitalization rate were analyzed. Results 1)The survey results of the satisfaction level of mothers towards education program as followes: The level of understanding of content, general babysitting, special situation, education method, and educator attitude showed statistically significant increase. 2)The survey results of the satisfaction level of nurses towards education program as followes: While, the need for education program decreased, the adequacy of education content and method, consistency of education, understanding of learner, and learner's performance increased. All the factors except for the need for education program and the adequacy of education content showed statistically significant difference. 3)Rehospitalization rate of premature babies decreased. According to analysis of the cause of rehospitalization, breast-feeding related apnea turned out to be the highest.
Conclusion
Through QI, satisfaction of mothers and nurses improved more than 10%. And rehospitalization rate of premature babies decreased by the same amount as well. Therefore, with the help of the standardized discharge education program, mothers who is not easy to take care of after leaving hospital can be seen to significantly affect their healthy growth and development.
Key words Premature infants;Parenting education;Dischareg planning;Nursing;
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