本研究為了解居家式保母之嬰幼兒健康照護知能情形，將嬰幼兒健康照護向度分為生活照護、安全照護、疾病照護。採用問卷調查法，以臺北市、新北市社區保母系統545 名在職保母為研究對象，分析有效樣本494 份，研究發現如下：一、保母平均年齡50.18 歲；學歷以高中職286 位（57.9％）最普遍；托育年資達12 年以上（35.6％）比例最高；收托1-2 歲（33％）學步兒最多；有九成八參加過健康照護研習；約六成保母參與研習課程時數達16 小時以上最多。二、保母的安全照護知能最佳（90.28％），其次為疾病照護知能（88.88％），生活照護知能最低（84.28％）。三、保母之嬰幼兒健康照護知能最佳題項，正確率達九成八以上為「照護泌尿道感染的幼兒」、「幼兒預防注射照護」，正確率達九成七以上的為「預防感染腸病毒」、「幼兒跌倒意外」、「幼兒燒傷或燙傷」、「幼兒餵藥」等題項。四、保母之嬰幼兒健康照護知能正確率為八成以下的題項，依序是「視力保健」約為四成、「預防溢奶的合宜姿勢」約為五成、「嬰兒人工呼吸」約為六成、「添加澱粉副食品」及「玫瑰疹常見合併症」約為七成、「照顧角膜炎的幼兒」約為七成八。五、保母不同教育程度在嬰幼兒健康照護知能有顯著的差異；保母不同健康照護自覺幫助程度（參與健康照護研習、證照學科筆試）在嬰幼兒健康照護知能亦顯著差異。六、保母健康照護自覺幫助程度（參與健康照護研習、證照學科筆試）與嬰幼兒健康照護知能有顯著相關。

As the child care need is growing, in order to understand the child health care situation of professional knowledge of family child care providers. This study divided the dimensions of child health care into life care, safe care, and disease care etc. Using questionnaires of in-service family child care providers from Taipei City, New Taipei City to analyze 494 valid sample data, the findings are as follows:1. The average age of 50.18 years of family child care providers ; senior high school 286 (57.9%) up; care for more than 12 years of experience (35.6%) up; age of 1-2 years old received the most care (33%); there were up to participate in health care study (98.0%); the most that own participation study courses up to 16 hours or more hours (60.3%).2. The child safe care knowledge of family child care providers is the best(90.28%), followed by disease care knowledge(88.88%), and the lowest is life care knowledge (84.28%).3. There are over 98% correct rate in the professional knowledge items to family child care providers, such as "care for the diagnosis of urinary tract infections in children" , " care for children after vaccination" , the correct rate of 97% or more for "the prevention of enterovirus infection " , " children fall accident" , " children burn " , " children could be given medicines "and so on.4. The below 80% correct rate in the professional knowledge items are " the eyes care " ( 40%), "the appropriate posture to prevent regurgitation "(50%), "infant CPR,"(60%), " add starch non-staple food " , "common complications of roseola "(70 %),and " take care of child for keratitis "(78%).5. The family child care providers different degree of education in child health care professional knowledge were significantly different; family child care providers different health care consciously help levels(in health care study and license written test) in child health care professional knowledge have significant differences.6. The family child care providers health care consciously help levels-related professional knowledge were significantly.