[[alternative]]Improve the Maternal Movement of Low Risk Women during Early Stage of Labor

[[abstract]]下床活動可以轉移待產時子宮收縮的疼痛不適，本專案旨在改善單位待產婦女下床活動作業。經現況調查發現問題，平均每星期高達80%的待產婦女不瞭解下床活動目的、現行未有下床活動護理指導標準、護理人員執行低危險待產婦女下床活動護理指導規範滿意度為2.1分，待產婦女缺乏下床活動的動機。經由問卷調查、現況分析及文獻查證後，進行解決方案：（一）制訂下床活動護理指導標準規範；（二）單位內設置下床活動－生產球推動小組；（三）修訂下床活動護理指導單張及製作海報。經實施解決方案後，待產婦女下床活動比率由20%提昇至達100%，顯示專案經由正確的分析，透過制度面來進行改善作業，能有效的提升下床活動比率達到專案的目的。[[abstract]]This article describes the outcome on the project of improving maternal movement for low risk women during early stage of labor. Literature review indicated that maternal movement reduces labor pain during contraction. There were four barriers found to be related to low maternal movements: lack of standards in nursing practice, lack of knowledge on the benefits of increasing maternal movement in early stages of labor among 80% of women in labor, lack of motivation and low satisfaction towards education. Three improving strategies were adopted including setting up standards of nursing practice on maternal movement, establishing a birth ball exercises education team, as well as developing patient education brochures and posters. The maternal movement in low risk women increased from 20% to 100%