- 期刊
以跨團隊合作模式提升腦中風病人護理指導執行率
An Interdisciplinary Model to Enhance Nursing Instruction Implementation Rate
摘要
腦中風病人占台灣十大死因的第三位，也是65歲以上老人失能最主要的原因。調查發現，腦中風病人及家屬在住院中常因疾病認知、使用抗凝血劑、再次中風症狀及處理等問題，感到擔心、焦慮，面對疾病過程及返家照護之壓力，造成拒絕、延遲出院等情形發生，為改善現況問題及達到腦中風病人照護指標，本專案提出腦中風病人護理指導改善方案，尋求改善策略以增進護理指導執行率，進而提升照護品質及滿意度。經改善對策實施，單位腦中風護理指導執行率由50.4%提升至82%，且病人及家屬對護理指導滿意度由65%提升至90%，專案措施對於腦中風病人指導執行率及指導品質有其成效，另外腦中風病人住院天數由的天降至10天，雖然影響住院天數因素甚多，但藉由敢動跨國隊專業問之分工照護及病人家屬的加入，過程中不但建立跨團隊問良好的工作默契，也使護病關條更為融洽，進行出院計畫過程也更加順利。
並列摘要
Stroke is the third leading cause of death in Taiwan and also the most common cause of disability among elderly above 65 years old. According to research, stroke patients and their families often feel worried and anxious due to disease unawareness, adjustment of anticoagulants, and treatment of recurrent stroke. The pressure of facing the disease and home care results in denial or delayed discharge. In order to solve the problem and achieve the stroke patient care indicators, the project proposes a solution to improve care and guidance of a full rate, and thus enhance the quality of care and satisfaction. Improvement measures implemented nursing instructions implementation rate on stroke care in our unit increased from 50.4% to 82%, and the patients and their families' satisfaction rate increased from 65% to 90%; furthermore, the length of hospital stay of stroke patients reduced from 15 days to 10 days. Although there are many factors affect the length of stay, but by applying cross-functional team model and cooperation of the families, we not only establish good cross-functional team working understanding, but also make nurse-patient relationship more harmonious; also, discharge plan is carried out more smoothly.