提升痰液培養檢體採集品質合格率

Improving Sputum Specimen Collection Success Rate

林韻純(Yun-Chun Lin) ； 羅曉萍(Hsiao-Ping Lo) ； 賴玟卉(Wen-Hui Lai) ； 廖淑櫻(Shu-Ying Liao)

《榮總護理》 36卷2期 (2019/06) Pp. 134-142

https://doi.org/10.6142/VGHN.201906_36(2).0003

摘要

痰液培養的結果可提供醫療診斷及處置的參考，分析2016年9月痰液培養檢體採集品質合格率僅42.1%，以觀察及問卷調查現況，發現問題如下：病人痰液檢體採集過程不正確；護理師對檢體採集認知不正確及指導不完整；以抽痰術採集步驟無一致性規定；檢體送驗前之外觀辨識及重留與否做法無明確規範；痰液檢體採集指導工具便利性與適用性不足。經舉辦在職教育，修訂痰液培養檢體採集規範與流程、製作中、英、印三語圖解指導單張、建立留痰口訣、痰液檢體辨識卡及執行痰液採集查核等介入措施，改善後痰液檢體合格率提升至80.5%，不但有助臨床診斷，減少成本支出，也相對提升醫療照護品質。

關鍵字

痰液培養 ； 痰液採集 ； 合格率

並列摘要

Sputum culture results can provide a reference for medical diagnosis and treatment. The sputum specimen collection success rate in our unit in September 2016 was only 42.1%. An analysis of the current situation through observation and by using a questionnaire survey indicated the following problems: (1) the collection process of the patient was incorrect; (2) the nurses' knowledge regarding sputum specimen collection was incorrect, so they provided incomplete guidance; (3) the steps for suction-based sputum collection, appearance-based sputum identification before inspection, and specimen re-collection rules were not clearly defined; and (4) the guidance tool was inconvenient and lacked applicability. Thus, to improve the success rate, we conducted an educational training program for the staff; revised sputum specimen collection regulations and procedures; created Chinese Mandarin, English, and Indian graphic instruction leaflets; developed a sputum collection slogan; created a sputum specimen identification card; and performed a sputum collection audit. Consequently, the success rate of sputum specimen collection increased to 80.5%. This project could aid in effectively establishing a clinical diagnosis, reducing expenses, and medical care quality.

並列關鍵字

sputum culture ； sputum specimen collection ； success rate

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