提升護理人員對膀胱訓練護理指導完整率

Project for Promoting Completeness of Nurses' Instruction of Bladder Training

李雅萍(Ya-Ping Lee) ； 蔡青娥(Ching-Er Tsay) ； 黃淑貞(Shu-Chen Huang) ； 梁靜娟(Ching-Chuan Liang)

《榮總護理》 27卷4期 (2010/12) Pp. 345-352

https://doi.org/10.6142/VGHN.27.4.345

摘要

脊髓損傷病人需完整的膀胱訓練避免泌尿道感染及提升生活品質，病人認知程度可反應護理指導完整性。本專案主旨在提升護理人員對膀胱訓練護理指導完整率，經調查在職教育訓練不足、醫師對膀胱訓練原則不一、缺乏完整的指導手冊、衛教單張未能定點取得及補充、三班膀胱訓練工作職責不明確等為影響因素。本專案包含膀胱訓練在職教育、整合專科醫師對膀胱訓練的時機、原則及護理指導單張，製作膀胱訓練護理指導手冊、制定膀胱訓練護理指導規範等改善辦法，對病人及護理人員評值。執行後發現脊髓損傷病人膀胱訓練護理指導完整率，由實施前53.33%提升至實施後89.49%。護理人員相關認知由52.5%提升至90.5%。本專案確實具備推廣之價值。

關鍵字

脊髓損傷 ； 膀胱訓練 ； 護理指導

並列摘要

Spinal cord injury patients need a complete nursing instruction on bladder training to avoid urinary tract infection, and to enhance their quality of life. A patient's perception can show the completeness of nursing instruction. The objective of this project was to improve nursing instruction completeness. The factors were lack of staff education, inconsistency in doctor's principle of bladder training, insufficiency of complete nursing instruction manual, unfixed and untimely supply of education sheets, and lack of clacity about shift responsibility for bladder training instruction. Solutions were holding lectures, integrating specialist principles and education sheets about bladder training, making an educational manual and setting up the nursing principles. After implementation, the completeness increased from 53.33% to 89.49%, and nurse's perception about bladder training also improved from 52.5% to 90.5%. This project was really worth promoting.

並列關鍵字

spinal cord injury ； bladder training ； nursing instruction