改善澳門家居護理規範之先導研究

目的：為規範澳門家居護理服務，初步形成規範的社區居家護理主要項目（傷口護理、管道護理、藥物注射）的服務指南。方法：採用澳門某家居護理隊護士的認知調查、現場評估、訪談收集資料，通過改善工作坊及家居護理實踐提升護理服務質量，同時規範護理操作指南。結果：家居護理隊護士相關護理認知情況及工作坊後的護理操作有提高；對原護理服務指引存在欠規範、步驟繁瑣、沒有參考文獻及部分內容欠準確等問題修改更新，歸納形成家居護理服務規範指南。結論：澳門某家居護理隊護士護理知識及技能得到提高，社區家居護士綜合素質及能力需要提高；迫切需要針對性的培訓及支援。

關鍵字

社區護士；家居服務；技術指南

並列摘要

Aims: This paper aims at developing a comprehensive and effective home care system by providing home care skills support. A home care skill guideline focusing on wound care, nasal tube care and Foley tube care is proposed, while a case management guideline is also developed. Method: This is an action research. Home care nurses working at Worker's Medical Clinic of Macao Federation of Trade Unions were recruited to participate in this study. Field practice observation, survey and interview were conducted as initial assessments. Immediate feedback and training workshop were then provided after the assessment. The result was evaluated by a post-test observation and survey. Result: Home care professional knowledge and home care skills were improved after intervention. It was found that the participants were familiar with the definition of home care and roles of community nurses. However, their nursing competence and knowledge have to be improved in the future. There is an immediate need for related training and support. Conclusion: The home care nurses' knowledge and skills were improved in this study.

並列關鍵字

community nurses ； home care ； skill guideline

國際替代計量

改善澳門家居護理規範之先導研究

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