提升腹部急症病人引流管自我照護正確率

腹部急症病人引流管留置通常會放置3－6個月，因此出院後仍需持續引流管照護，若出院返家未妥善處理，易增加感染風險導致再入院，使照護成本增加。2016年1－3月有6位因引流管滑脫重返急診、2位返家後引流管感染再入院；調查腹部急症病人執行引流管自我照護正確率僅62.3%，分析原因為護理人員執行腹部引流管照護衛教指導完整率低及照護認知率低、腹部急症病人表示引流管自我照護步驟及用物準備項目多且住院期間未主動認真學習；解決辦法為建立腹部急症病人引流管照護衛教指導標準作業流程並舉辦團體衛教暨技能訓練課程、製作引流管自我照護步驟圖卡、異常自我監控表及提供So Easy傷口護理包；專案結果腹部急症病人引流管自我照護正確率97.1%，建議臨床應藉由團體衛教活動增加病人學習引流管自我照護認知與技能訓練，進而提升專科護理照護品質。

關鍵字

腹部急症；引流管；自我照護

並列摘要

Drainage tube usually remains in the body of patients with acute abdominal diseases for three to six months. Therefore, proper care of drainage tube is necessary after patients being discharged. Without appropriate care, the risk of infection will increase, which may lead to re-admission and higher cost of care. There were six patients returned to emergency room due to loosing drainage tube and two patients re-admitted because of infection from January to March in 2016. We found that patients with drainage tube remained, had poor self-care technique, with only 62.3% accurate. Further analysis revealed that possible reasons included incomplete education of drainage care from nurses, lack of awareness of drainage care, poor compliance of caring procedures, and inadequate learning during hospitalization. The improvement project included establishing a standardized operation procedure, offering a self-care chart and an abnormality self-monitoring table, organizing group education and skills training courses, and providing so-easy wound care kits. The result of this project showed that the accuracy of self-care increased to 97.1% The project suggests that group education activities can improve the quality of nursing care by increasing patient's willingness to learn.

並列關鍵字

emergency of abdominal diseases ； drainage tube ； self-care

參考文獻

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被引用紀錄

羅苡筑、陳俞君、莊佩華（2023）。照護一位乏特氏壺腹癌術後引發膿胸病人之護理經驗。彰化護理，30(3)，144-156。https://doi.org/10.6647/CN.202309_30(3).0016

羅心怡、林育嘉、張瑋、鄭青青（2022）。運用創造思考教學提升二年期護理師腹部引流管照護完整率。護理雜誌，69(5)，86-95。https://doi.org/10.6224/JN.202210_69(5).10

國際替代計量

提升腹部急症病人引流管自我照護正確率

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