根除性攝護腺切除手術護理指導改善方案

Improvement Project for Nursing Instructions Provided to Radical Prostatectomy Surgery Patients

塗慧卿(Hui-Ching Tu) ； 吳蘭蓀(Lan-Suen Wu) ； 高翡勵(Fei-Li Kao) ； 簡毓芳(Yu-Fang Chien) ； 邱文靜(Wen-Chin Chiu) ； 洪文惠(Wen-Huei Hung) ； 賴見淑(Chien-Shu Lai)

《榮總護理》 31卷4期 (2014/12) Pp. 398-407

https://doi.org/10.6142/VGHN.31.4.398

摘要

本專案旨在提升根除性攝護腺切除手術護理指導的執行率，增加病人對手術的正確認知。查檢發現護理指導執行率偏低，使病人對手術認知及滿意度低。分析原因為：缺乏手術照護作業指引、缺乏護理指導監測、缺乏護理指導單張及護理人員不知如何教導及不知教導內容等。經由實地觀察、現況分析及文獻查證後，自2012年9月至2013年3月進行改善方案包括：建立護理指導標準作業、訂定護理指導監測、製作護理指導單張及舉辦護理指導在職教育訓練。經實施解決方案後，護理人員對護理指導執行率由55%提升至94%，病人對手術認知正確率由58%提升至96%，滿意度由2.8分提升至4.9分。有效改善護理指導品質，提升病人手術認知及滿意度。

關鍵字

根除性攝護腺切除手術 ； 執行率 ； 護理指導

並列摘要

The aim of this project was to improve the administration rate of nursing instruction for patients who underwent radical prostatectomy surgery by increasing patient recognition of the operation. In this project, we determined that the administration rate of nursing instruction was low, causing patient satisfaction and recognition to be low. Based on analysis, the reasons for the low administration rate were determined to be the follows: lack of surgical care practice guidelines, lack of care guide monitoring, lack of a care instruction sheet, lack of knowledge of teaching methods among nursing staff, and the teachings. Field observations, analysis, and literature review were conducted between September 2012 and March 2013 to implement improvement programs, including standard instruction establishment, operation monitoring, nursing instruction sheet creation, and service education provision for nurses. After completion of this project, the administration rate of nursing instruction increased from 55% to 94%, the recognition rate of surgical procedures increased from 58% to 96%, and the satisfaction rate of patients increased from 2.8 to 4.9 points. This project not only improved the quality of nursing instruction but also increased patient recognition and satisfaction.

並列關鍵字

radical prostatectomy ； administration rate ； nursing instruction