婦科門診手術病人居家護理指導完整率之改善

Improvement of the Completion Rate of Home Care Instuction in Outpatient Gynecological Surgery Patients

李雅美(Ya-Mei Li) ； 呂欣芸(Hsin-Yun Lu) ； 袁綺蘋(Chi-Pin Yung)

《嘉基護理》 11卷2期 (2011/12) Pp. 11-21

https://doi.org/10.29936/DMFCCHJN.201112.0002

摘要

本專案目的在改善病患在婦科門診手術後之居家護理指導，並建立單位門診術後護理指導規範，以提昇病患對術後返家自我照顧能力。經由實地聽取恢復室護理人員對病患門診手術後護理指導內容，調查結果病患術後居家護理指導完整率為50%，顯示護理人員對病患的護理指導不完整。經專案小組修改門診手術護理指導單張內容、建立完整護理指導照護標準、安排在職教育、製作開刀區與恢復區交班提醒標語及品管監測項目追蹤指標等策略，護理人員在護理指導確實有依據下護理指導完整率由50%提升至85%，顯示專案之實施可提升對病患接受到護理指導之完整性，並使病患能獲得個別、整體及連續性的照護。

關鍵字

門診手術 ； 居家護理指導

並列摘要

The objective of this study was to improve home care instruction of patients after outpatient gynecological surgery, and to establish a standard for post-surgery home care instruction of outpatients, in order to enhance the self-care ability of patients after they return home. We conducted a field survey to learn how recovery room nursing staff provided post-surgery instruction, and found a 50% completion rate of post-surgery home-care instruction, which indicated that nursing staff did not instruct patients completely. A task force modified the instruction sheet for post-surgery home care, established a comprehensive care guideline standard, organized on-job-training and made checklists for surgery-recovery room transfer and quality monitoring items. This way, nursing staff was given a basis in accordance with which care nursing instuction could be provided, after which the care instruction completion rate increased from 50% to 85%, which indicated that the above methods could enhance the comprehensiveness of instruction so that patients can get personalized, comprehensive and continuous care.

並列關鍵字

outpatient surgery ； home care instruction