運用多元策略提升孕婦初期子癲前症風險評估篩檢率

Applying Multiple Strategies to Improving the Pre-Eclampsia Screening Rate of Risk Assessment in the Early Pregnancy

洪芝怡(Chih-I Hung) ； 陳秋璇(Chiu-Hsuan Chen) ； 吳憬懿(Ching-Yi Wu) ； 胡靜文(Ching-Wen HU) ； 嚴美華(Mei-Hua Yen)

《志為護理-慈濟護理雜誌》 22卷6期 (2023/12) Pp. 75-87

摘要

本院婦產科門診2020年初期子癲前症風險評估篩檢率10.2%低於2019年篩檢率13.5%，且發生子癲前症產婦異常事件，險致醫療糾紛，經調查篩檢率低原因：產前自費檢查項目多，醫師易遺漏；護理師認知低；孕婦想篩檢時已過週數；衛教手冊醫學專有名詞多孕婦不易了解；篩檢流程不順暢。解決辦法：門診醫囑系統新增提示視窗、舉辦教育訓練、修訂篩檢標準作業流程、建置衛教影音QR code；簡化精實篩檢流程後，篩檢率由10.2%提升至平均19.1%，達專案目的。本專案藉由多元策略提升孕婦初期子癲前症風險評估篩檢率，促進周產期醫療照護品質。

關鍵字

孕婦初期 ； 子癲前症 ； 篩檢率 ； 多元策略

並列摘要

In 2020, the pre-eclampsia screening rate for early pregnancy of the department of Obstetrics and Gynecology of our hospital was 10.2%, which was lower when compared to 2019 (13.5%). Moreover, unexpected incidents of pre-eclampsia occurred repeatedly increasing the chance of serious medical disputes. Analysis revealed the low screening rate resulted from a number of factors, which included: self-paid exams during antenatal care visits that caused doctors to feel overwhelmed and frustrated; a low level of knowledge of health care providers; delayed recall and recognition of screening timing for preeclampsia in pregnant women; complex language and unfamiliar words used in education materials that is challenging for most pregnant women; and an overly complicated screening process. The following were initiated in order to address these issues: adding a Prompt Window in Outpatient Medical Order System; organizing professional training; revising the Screening Standard Operation Procedure; creating a QR code that links to a video for health education; and simplifying the screening process. By implementing multiple strategies to improve the pre-eclampsia screening rate, the rate increased from 10.2% to 19.1% on average, which met the projects goal and contributes to the promotion of quality medical care during the perinatal period.

並列關鍵字

early pregnancy ； multiple strategies ； pre-eclampsia ； screening rate

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