運用治療性遊戲提升學齡前期住院病童口服給藥遵從率

Using Therapeutic Play to Increase the Oral Administration Adherence Rate of Preschool Pediatric Inpatients

李翠萍(Tsui-Ping LI) ； 黃慎苓(Shen-Ling HUANG) ； 吳依婷(Yi-Ting WU) ； 馮瑞君(Jui-Chun FENG) ； 游嬋涓(Chan-Chuan YU)

《護理雜誌》 72卷1期 (2025/02) Pp. 85-94

https://doi.org/10.6224/JN.202502_72(1).11

摘要

背景：口服給藥是兒科病童最常見的醫療處置。本單位病童需要口服藥物治療佔98%以上，2022年口服給藥遵從率為43.9%。分析原因：無相關口服給藥護理指導單張、未舉辦相關在職教育；無針對兒童的口服給藥衛教工具；缺乏具吸引力的餵藥輔具。目的：提升學齡前期住院病童口服給藥遵從率。解決方案：透過製作兒童口服給藥護理指導單張及QR code（quick response code）影片連結、製作治療性遊戲輔具、改變餵藥器外觀黏扣病童喜愛的卡通人物、製作《搶救森林大作戰》繪本及影片、獎勵貼紙等措施。結果：病童口服給藥遵從率由43.9%提升為91.9%。結論：本專案可以有效提升口服給藥遵從率，提高口服給藥品質，未來可供其他兒科單位參考。

關鍵字

口服給藥 ； 服藥遵從性 ； 治療性遊戲

並列摘要

Background & Problems: Oral administration is the most common mode of medical treatment for pediatric patients. Although over 98% of the patients in the targeted pediatric unit require oral medication, the oral administration adherence rate in 2022 was 43.9%. The reasons for this low rate were identified as: (1) no relevant oral administration educational materials, (2) no relevant continued nursing education provided, and (3) lack of assistive tools and feeding aids to help administer oral medication to young children. Purpose: This project was developed to increase the adherence rate of oral administration of preschool pediatric inpatients in our hospital. Resolutions: The improvement strategies included the design of patient-centered oral medication care guidance leaflets and QR code (quick response code) video links, the development of therapeutic play aids, adding cartoon characters to medicine feeders, and the creation of a "Rescue the Forest" picture book and video and reward stickers. Results: The oral medication adherence rate increased from 43.9% pretest to 91.9% posttest. Conclusion: This project and its positive effect on the rate of oral medication adherence may be referenced by other pediatric units.

並列關鍵字

oral administration ； medication adherence ； therapeutic play

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