提升精神科日間病房個案復健活動出席率專案

Improving the Attendance Rate to Rehabilitation Activities in a Psychiatric Daycare Center

柯詒菁(Yi-Ching Ke) ； 林佳慧(Chia-Hui Lin) ； 賴美玲(Mei-Ling Lai)

《志為護理-慈濟護理雜誌》 11卷5期 (2012/10) Pp. 69-79

https://doi.org/10.6974/TCNJ.201210.0069

摘要

本專案在提升日間病房個案復健活動出席率。統計2009年1〜5月個案復健活動平均出席率僅為51.6％，發現個案出席率低，分析問題為：活動類別少同質性高、復健活動目標內容未標示說明、未針對個案興趣設計個別復健計畫、工作人員帶領團體能力不足、教室空間有限復健活動未依治療目標分類，且每次參與人數過多。經實施以下改善方案：規劃復健活動課程及時間、設計個人復健課程表、活動前說明課程的型態目的及標示、實施獎勵制度、規劃工作人員教育訓練，結果個案復健活動出席比率由51.6％提升至95.4％，顯示此專案實施的成效，期盼透過有規劃之復健活動，除提升照護品質外，也增進個案在社區獨立生活之能力。

關鍵字

日間病房 ； 出席率 ； 復健活動

並列摘要

The project was aimed to improve the attendance rate to rehabilitation activities in a psychiatric daycare center. A survey conducted during January to May 2009 showed the average attendance rate of daycare patients to rehabilitation activities was as low as 51.6%. The underlying main factors were as followed: 1) the rehabilitation activities lack diversity; 2) the content and goal of each activity were not clearly instructed to the patients; 3) there were no individualized rehabilitation planned in accordance to patient preferences; 4) the staffs were incapable in terms of group leading; 5) the designs of therapeutic activities were not differentiated in accordance to therapeutic goals due to limitation of space, and 6) overcrowded during each session.. Methods of improvement were as followed: 1) redesigning rehabilitation program and its duration; 2) individualized rehabilitation schedule; 3) clearly state the purpose and the labels prior to each rehabilitation session; 4) implement reward system to increase attendance incentives, and 5) schedule and plan employee training. As result, the attendance rate to rehabilitation activities increased from 51.6% to 95.4%, demonstrating the efficacy of the implemented project. With well-planned rehabilitation activities, we not only improve our quality of care but also strengthen the patients’ ability to live independently in their respective community.

並列關鍵字

attendance rate ； daycare ； rehabilitation activities