利用行動科技改善髖部骨折術後護理指導之改善專案

台灣髖部骨折發生率居亞洲之冠，術後照顧不周常導致病人反覆入院，浪費醫療資源，且病家照護備感壓力，研究指出護理指導是有效策略。本單位近半年髖部骨折術後返家照顧不當導致再入院佔7.4%，故引發改善動機。分析原因為缺乏術後護理指導標準作業流程、未對護理人員進行在職教育訓練、缺乏護理指導教材及護理指導成效品質管理機制。擬定對策為建立術後護理指導標準作業流程、建置護理指導進度資訊平台、建立三班交班規範、規劃護理人員在職教育訓練課程、製作護理指導教材及建立品質管理機制，專案改善成效為護理人員術後護理指導認知率由60%提升至90%；護理指導完整率由54.9%提升至90%達成專案目的，有效提升護理指導之品質。

關鍵字

髖部骨折；行動科技；護理指導

並列摘要

Taiwan has the highest incidence rate of hip fractures in Asia. Inadequate postoperative care often leads to repeated admissions of patients, wasted medical resources, and the pressure of patient care at home. Studies have pointed out that nursing guidance is an effective strategy. In the past six months, improper care at home after hip fracture surgery in this unit resulted in readmission possessed 7.4% of all cases, which initiated the motivation for improvement. The reasons for the analysis include the lack of standard operating procedures for postoperative nursing guidance, the lack of on-the-job education and training for nursing staff; the lack of nursing guidance teaching materials and the quality management mechanism of nursing guidance effectiveness. The proposed countermeasures are to establish a standard operating procedure for postoperative nursing guidance, build a nursing guidance progress information platform, establish a three-shift roster specification, plan on-the-job education and training courses for nursing staff, and produce nursing guidance materials as well as establish a quality management mechanism. The major improvement of this project is the awareness rate of postoperative nursing guidance for nursing staff has increased from 60% to 90%; the complete rate of nursing guidance has increased from 54.9% to 90% to achieve the purpose of this project and effectively improve the quality of nursing guidance.

並列關鍵字

hip fracture ； mobile technology ； nursing guidance

參考文獻

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