肺結核整合照護：一位負壓隔離病房之護理長兼具認證通過進階護理師之推動經驗

結核病是台灣法定傳染病。開放性肺結核病人於住院初期需入住負壓病房，且出院後需持續性照顧追蹤。病人會面臨生理多重共病與心理問題，因此，以病人為中心的整合照護的照顧是必需的。本文目的為呈現一位負壓隔離病房護理長兼具進階護理師角色時，如何運用跨團隊溝通的能力建構肺結核整合照護模式，運用教學能力培養臨床護理人員照顧技能與提升結核病人的認知，並領導團隊朝向以病人為中心的照顧，最終提升結核完治率達90.7%。期盼透過此文能促進進階護理人員展現核心能力於肺結核整合照護之經驗交流，提升護理之專業角色能力。

關鍵字

進階護理師；整合性照護；肺結核

並列摘要

Tuberculosis is a legally determined infectious disease in Taiwan. Patients with open pulmonary tuberculosis need to be admitted to a negative pressure ward in the early stage of hospitalization, and they need to be followed up with continuous care after discharge. Patients will face multiple physical comorbidities and psychological issues; therefore, patient-centered integrated care is required. The purpose of this article is to show how a negative pressure isolation ward head nurse with advanced practice nurse certification can use the ability of cross-team communication to construct an integrated care model for tuberculosis; apply her teaching ability to cultivate clinical nurses' caring skills and improve patients' knowledge of tuberculosis, and lead the team towards patient-centered care, and ultimately improve Tuberculosis cure rate up to 90.7%. It is hoped that through this article, advanced nurses can demonstrate their core competencies in the experience exchange of tuberculosis integrated care, and enhance their professional role of nursing.

並列關鍵字

advanced practice nurse ； integrated care ； pulmonary tuberculosis

參考文獻

王玉女、劉佩華、林素英、簡伊翎、謝旻瑾（2021）．提升入住負壓隔離病房肺結核病人護理指導之完整性．醫務管理期刊，22(2)，171-186 。 https://doi.org/10.6174/JHM.202106_22(2).171

郭廣華、楊鈴韻（2017）．照顧一位初次罹患肺結核病人之護理經驗．長庚護理，28(1)，142-151。https://doi.org/10.3966/102673012017032801013

孫婉娜、許心恬（2017）．肺癌之整合性照護: 以南部某醫學中心為例．領導護理，18(3)，13-22。https://doi.org/10.29494/LN.201709_18(3).0002

Chakrabartty, A., Basu, P., Ali, K. M., Sarkar, A. K., & Ghosh, D. (2018). Tuberculosis related stigma and its effect on the delay for sputum examination under the Revised National Tuberculosis Control Program in India. Indian Journal of Tuberculosis, 65(2), 145-151. https://doi.org/10.1016/j.ijtb.2017.08.032

Chen, X., Wu, R., Xu, J., Wang, J., Gao, M., Chen, Y., Pan, Y., Ji, H., Duan, Y., Sun, M., Du, L., & Zhou, L. (2021). Prevalence and associated factors of psychological distress in tuberculosis patients in Northeast China: A cross-sectional study. BMC Infectious Disease, 21(1), Article 563. https://doi.org/10.1186/s12879-021-06284-4

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