跌倒預防門診病人遵行醫療照護建議之探討

Adherence of Clinical Advices in Patients of a Fall Prevention Clinic

陳仕瑜(Shih-Yu Chen) ； 林桑伊(Sang-I Lin) ； 陳清惠(Ching-Huey Chen)

《榮總護理》 29卷1期 (2012/03) Pp. 1-9

https://doi.org/10.6142/VGHN.29.1.1

摘要

跌倒預防門診為針對高跌倒危險病人有效的跌倒防治照護模式。然而其跌倒防治之成效與病人執行建議的遵行性息息相關。故本研究的主旨為探討接受跌倒預防門診服務之病人，對門診專業醫療人員所提供預防跌倒建議事項的遵行性與正確性。本研究為描述性研究，病人來源為某醫學中心接受跌倒預防門診照護服務滿六個月以上的病人，共42位，以結構式問卷進行訪問調查。結果顯示，整體的遵行性僅達38.6%，超過半數以上在醫療及藥物、運動、環境及其他建議等四類型建議事項皆未遵行，但只要能遵行，其正確率可高達70%以上。未來門診之照護宜強化病人對其跌倒危險因子之體認及提供能與病人生活習性相配合之照護建議。

關鍵字

跌倒預防 ； 照護模式 ； 遵行性

並列摘要

Fall Prevention Clinic (FPC) is reported as an effective care model in preventing falls among high-risk subjects. The effectiveness of this service is highly correlated with the subjects' adherence to the advice provided by medical personnel. The aim of this descriptive study is to explore the adherence and accuracy of FPC subjects in conducting the clinical advice provided to them. Subjects having received FPC service over six months at a medical center were recruited. A structured questionnaire was used to collect data. The results showed that the overall adherent rate was 38.6%; more than 50% of the subjects reported not following the advice in four types of clinical recommendations, i.e. medical and medication, exercise, environmental and others. When subjects adhered with the advices, the accuracy rate could reach 70%. FPC should strengthen the subjects' perception towards the risk of falls and provide clinical advices as compatible with patients' life habits.

並列關鍵字

fall prevention ； care model ； adherence