運用多元策略提升脊椎手術病人術後復健運動執行率

脊椎退化性疾病手術後早期復健運動可有效減緩疼痛、改善病人活動功能。2020年1月至2月實際觀察病人術後復健運動情形，發現復健運動執行率僅53.0%，引發專案改善動機。現況分析發現問題有：病人傷口疼痛及疲憊不想運動、復健運動內容太多記不住、護理人員對復健運動認知不足、僅口頭教導而未實際動作示範、缺乏術後復健運動照護流程、未定期舉辦教育訓練及護理指導工具不合適等。藉由舉辦脊椎術後復健運動課程教育與技能學習、製作下肢復健運動影片、修訂護理指導單張、疼痛控制處置及運用日常管理手法等多元策略後，病人復健運動執行率提升至90.1%。期望經由持續的專案改善，提升病人復健運動成效、增進病人自我照護能力以提升生活品質。

關鍵字

多元策略；脊椎手術；復健

並列摘要

Early rehabilitation following degenerative spinal disease surgeries can effectively relieve pain and improve patient mobility. The observed implementation rate of postoperative rehabilitation from January to February 2020 was 53.0% and must be improved further. Based on the analysis, the current situation and problems include: patients' incision pain, fatigue, and reluctance to exercise; the challenge of recalling many rehabilitation procedures; the lack of rehabilitation awareness of the nursing staff, demonstration alongside verbal instruction, standard postoperative rehabilitation process, regular education and training for staff, and appropriate of nursing instruction tools. After executing multiple strategies such as education and skill learning of spinal surgery rehabilitation, the production of a lower limb rehabilitation video, the revision of nursing instruction leaflets, pain control, and the implementation of a daily management system, the rehabilitation implementation rate increased to 90.1%. We hope that through continuous efforts, the effectiveness of patients' rehabilitation, self-care ability, and quality of life will be improved.

並列關鍵字

multiple strategies ； spinal surgery ； rehabilitation

參考文獻

林雅雯、李慧芝、李靜芳（2020）‧結合復健資源提升內科加護病房足部復健運動執行率･領導護理，21（2），116-127。https://doi.org /10.29494/LN.202006_21(2).0010

林瑞青、林佳慧、翁淑敏、林琦峯、王蔚芸、曾雯琦（2021）‧運用多元策略提升急性腦中風病人早期復健運動之執行率‧護理雜誌， 68(1) , 64-73。https://doi.org /10.6224/JN.202102_68(1).09

Dahodwala, M., Geransar, R., Babion, J., de Grood, J., & Sargious, P. (2018). The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient Education and Counseling, 101(12), 2116-2124. https://doi.org/10.1016/j.pec.2018.06.018

Kim, M. Y., & Oh, S. (2020). Nurses' perspectives on health education and health literacy of older patients. International Journal of Environmental Research and Public Health, 17(18), 6455. https://doi.org/10.3390/ijerph17186455

Lam, A. K., Fung, O. H., Kwan, C., Cheung, J. P., Luk, K. D., Chiu, A. Y., & Wong, A. Y. (2022). The concerns and experiences of patients with lumbar spinal stenosis regarding prehabilitation and recovery after spine surgery: A qualitative study. Archives of Rehabilitation Research and Clinical Translation, 4(4), 100227. https://doi.org/10.1016/j.arrct.2022.100227

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運用多元策略提升脊椎手術病人術後復健運動執行率

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