- 期刊
運用多元策略提升護理人員對癌症病人執行心理痛苦溫度計評估正確率
Multiple Strategies to Improve the Assessment Accuracy of Nursing Staff in Using the Psychological Distress Thermometer
摘要
癌症病人經歷許多症狀及情緒困擾，運用心理痛苦溫度計（distress thermometer, DT）以預防病人自殺高風險，評估分數高低會間接影響不適當措施。經專案現況分析發現護理人員對DT評估認知不足、執行DT評估內容不完整、缺乏DT評估指引等，因此藉由多元策略的介入，如：1.舉辦在職訓練、2.製作心理痛苦溫度計圖卡、3.製作DT評估使用指導步驟、4.製作DT影音光碟等，以提升護理人員評估DT之正確性。專案實施後，護理人員DT評估認知率由61%提升93.6%、執行DT評估正確率由61.1%提升至91.5%，以達專案目的，期望提供臨床上規劃完整DT評估課程，做為人員基礎教育，運用於臨床實務上。
並列摘要
Cancer patients experience many symptoms and emotional breakdown. It is clinically found that distress thermometer (DT) can evaluate the risk of suicide in patients with cancer. However, inappropriate evaluation scores may lead to wrong treatment plans. The current analysis found that DT evaluated by nursing staff is incomplete, lacking practical teaching and evaluation guidelines, and with insufficient awareness of DT assessment. Therefore, our group consisted of three members established the following interventions: (1) holding on-the-job training, (2) making a psychological DT chart, (3) making DT evaluation guideline, and (4) making DT teaching video and audio discs, etc., to improve the accuracy of DT assessment by the nursing staff. After the implementation of the project, the awareness rate of DT assessment has increased from 61% to 93.6%, and the accuracy rate in performing DT assessment has increased from 61.1% to 91.5%, which has achieved the purpose of this project. It is expected to provide a complete clinically planned DT assessment course and use it as a basic education for personnel in clinical practice.