改善內科住院病人防跌措施的完整性－病人參與策略的運用

Improvement of Falls Prevention Interventions Among Hospitalized Patient in Internal Medicine: Patient Participation and Interactive Health Education

陳建皓(Jian-Hao Chen) ； 張美侖(Mei-lun Chang) ； 戴佳惠(Chia-Hui Tai) ； 鄭雅君(Ya-Chun Cheng) ； 鍾惠君(Hui-Chun Chung) ； 呂基燕(Ji-Yan Lyu)

《志為護理-慈濟護理雜誌》 21卷5期 (2022/10) Pp. 70-81

摘要

本專案旨在運用病人參與策略，提升住院病人防跌措施的完整性，經現況調查確立問題為：病人防跌措施完整性低，僅37.9％。分析原因有：「覺得不會跌倒」、「忘記衛教內容」、「沒有拿到衛教單張」、「衛教單文字看不懂」。專案施行措施包含：設計參與式衛教圖卡、製作防跌衛教手冊、規劃衛教教材擺放位置，以及規劃QR code衛教影片專區。專案施行後，病人防跌措施完整性從37.9％提升至85.2％。顯示本專案的推動有效提升住院病人參與防跌倒措施的完整性，降低住院病人跌倒發生率，促進病人安全。

關鍵字

跌倒 ； 病人參與

並列摘要

In our recent investigation into fall prevention, the integrity of patient fall prevention measures was found to be low at only 37.9%. Analysis indicated patients' reasons given for this result are: ＂I don't think I will fall＂, ＂Forgot the content of the health education＂, ＂I didn't get the health education leaflet＂, and ＂I can't understand the text of the health education leaflet.＂ This project aims to use patient participation strategies to improve the integrity of inpatient fall prevention measures. The implementation measures of the project include: designing participatory health education chart cards; making anti-fall health education manuals; planning the placement of health education textbooks; and planning a QR code health education video area. After the implementation of the project the completeness of patient fall prevention measures increased from 37.9% to 85.2%. This outcome shows that the promotion of this project effectively improves the integrity of inpatients participating in anti-fall measures, reduces the incidence of inpatient falls, and promotes patient safety.

並列關鍵字

engagement ； falls ； patient

參考文獻

郭素真、陳尹甄、陳盈妘、林郁淇、許淳媁 (2019) ．降低住院病人跌倒發生率改善方案．榮總護理， 2 6 (4) ，408-416。http://dx.doi.org/ 10.6142/VGHN.201912_36(4).0009

張美娟(2020)．健康識能友善照護實務‧領導護理，21 (1)，1-9。http://dx.doi.org/10.29494/LN.202003_21(1).0001

梁淑媛、莊宇慧、吳淑芳(2012) ．內容分析技巧在護理質性資料之初步應用．護理雜誌，59(5)，84-90。https://doi.org/10.6224/JN.59.5.84

溫明寰、吳雅萍、楊佳諭、林小玲(2018)．客製化防跌措施降低住院病人跌倒發生率之專案．高雄護理雜誌，35(2)，37-52。http://dx.doi.org/10.6692/KJN.201808_35(2).0004

Duckworth, M., Adelman, J., Belategui, K., Feliciano, Z., Jackson, E., Khasnabish, S., Lehman, I. S., Lindros, M. E., Mortimer, H., Ryan, K., Scanlan, M., Spivack, L. B., Yu, S. P., Bates, D. W., & Dykes, P. C. (2019). Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: An implementation science study. Journal of Medical Internet Research, 21(1), 1-11. http://dx.doi.org/10.2196/10008.。