提升長照機構照護人員對臥床住民執行感官刺激正確率

Improvement of Correct Rate of Sensory Stimulation Conducted by Caregiver on Bedridden Residents in a Long-Term Care Facility

謝惠琪(Hui-Chi Hsieh) ； 劉家勇(Hubert Chia-Yung Liu)

《北市醫學雜誌》 16卷3期 (2019/09) Pp. 188-199

https://doi.org/10.6200/TCMJ.201909_16(3).0002

摘要

2018年的老人福利機構評鑑指標中，針對重症失能臥床住民需求提供規律或計畫性感官刺激，可運用資源及技巧有效改善住民生活品質。本專案旨在提升對臥床住民執行感官刺激正確率。經實地觀察、現況分析，本專案之主要原因為：認知不足、技術不熟悉、缺乏操作流程細則、無查核機制。經擬定解決辦法如：舉辦教育訓練、實施實地操作演練及海報、拍攝教學影片、建立感官刺激流程細則、建立查核機制等介入後。執行專案後評估其成效，發現正確率由61.1%提升至93.5%，因此本專案證實透過策略可提升長照機構照護人員對臥床住民執行感官刺激正確率。

關鍵字

臥床住民 ； 感官刺激 ； 長照機構照護人員

並列摘要

Sensory stimulation improves the quality of life of severely ill and disabled residents staying in long-term care facilities. In this project, we aimed to escalate the correct rate of sensory stimulation conducted by caregivers. Through on site observation and analysis, we identified several problems in caregivers on correctness of conducting sensory stimulation, namely, insufficient recognition of the health issue, unfamiliar of the techniques, lack of detailed operating procedure, and no audition mechanism. We planned the following solutions: hold educational training, provide on-site practice, make posters and teaching movies, and establish standard operating procedures and audition mechanism. Implementation of the above strategies improved the correctness of sensory stimulation from 61.1% to 93.5%. We conclude that the intervention was effective in improving the correct rate of caregivers in conducting sensory stimulation in bed-ridden residents.

並列關鍵字

bedridden residents ； sensory stimulation ； caregivers in long-term care facility