脊髓損傷者之持續性照護

Continuous Care for Patients with Spinal Cord Injury

胡嘉桂(Chia-Kuei Hu) ； 林佩昭(Pei-Chao Lin)

《領導護理》 21卷3期 (2020/09) Pp. 24-35

https://doi.org/10.29494/LN.202009_21(3).0003

摘要

脊髓損傷將導致病人嚴重殘疾，影響心理健康及生活品質，甚至耗費大量的社會成本。脊髓損傷者的最佳管理為醫院前、急診、急性醫院、急性後期醫院和社區各單位的無縫接軌。定期進行多學科團隊會議，以病人為中心進行周全性評估，建立復健照護計畫。讓脊髓損傷者出院返回社區後，仍持續接受照護服務。實證研究指出脊髓損傷持續照護模式能有效改善病人功能狀態及併發症，增進病人社會融合與心理健康。建議各醫院可運用現有的團隊資源，加強以病人為中心的脊髓損傷跨團隊會議，專人整合多專科醫療團隊資源，提供脊髓損傷者就業評估、諮詢及培訓，增加主要照顧者的相關教育，設計一套脊髓損傷生活品質照護系統，用於針對脊髓損傷者在各種功能中測量結果，發展出屬於台灣的脊髓損傷整合照護計畫方案。

關鍵字

脊髓損傷 ； 持續性照護 ； 整合照護 ； 就業

並列摘要

Spinal Cord Injury (SCI) leads to severe disability, affects patients' mental health, quality of life, and even consumes great extent of social cost. The best management for patients with SCI is seamless integration of units including pre-hospital, emergency, acute hospital, acute post-hospital, post-acute hospital and various units in the community. This integrated care model also contains regular multidisciplinary team meetings, patient-centered comprehensive assessment, and rehabilitation care programs. It allows patients with SCI to continually receive care after returning to the community. The empirical study shows that the integrated continuous care model of SCI can effectively improve patients' functional status and complications, and enhance the social integration and mental health of those patients. The author recommends that all hospitals utilize existing team resources to strengthen patient-centered SCI cross-team meetings, staff to integrate multi-specialty medical team resources, provide employment assessment, consultation and training for patients with SCI, as well as providing relevant education to the main caregivers, design a SCI-QOL system to measure the results of various functions in SCI patients, and therefore develop a comprehensive SCI care plan in Taiwan.

並列關鍵字

spinal cord injury ； continuous care ； integrated care ； employment

參考文獻

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