提升腦中風病人執行被動關節運動之完整率

The Improvement of Executing Rate of Passive Joint Range of Motion in Stroke Patients

吳美金(Mei-Jin Wu) ； 張美珍(Mei-Jen Chang)

《嘉基護理》 11卷2期 (2011/12) Pp. 22-34

https://doi.org/10.29936/DMFCCHJN.201112.0003

摘要

復健工作有其延續性，早期的復健成敗往往會影響後續的訓練和功能恢復。2009年4月發現護理人員被動關節技能不足、未建立被動關節運動稽核、未實際給予指導、照顧者輪替執行復健等原因，造成被動關節運動執行完整率僅35.7%。本專案旨在提升腦中風急性期病人被動關節運動的執行率，避免臥床不動產生肌肉萎縮及關節僵硬。專案小組透過在職教育和床邊教學演練，增進護理人員被動關節運動整體知識與技能；拍攝衛教影片提供病人與照顧者學習復健運動及實施定期稽核。經專案改善策略實施後，腦中風病人執行被動關節運動完整率提高為90%，有效提供病人早期復健護理，降低肢體障礙程度，更增加對照護滿意度。

關鍵字

腦中風病人 ； 全關節運動 ； 早期介入

並列摘要

Continuity of rehabilitation is essential in stroke patient. The efficacy of the initial stage taking rehabilitation affects the outcomes after stroke. We found that the executing rate of passive joint range of motion (ROM) for stroke patient was 37.5% in April 2009. The main causes included nursing staff was inadequate for ROM, lacking of auditing system, insufficient nursing instruction and caregiver took turns doing ROM. The purpose of this project was to improve their implementation of passive joint ROM in acute episode stroke patients and to prevent their muscle atrophy and joint stiffness. The project team conducted ROM education and training for promoting nursing staff's competence. Besides, we made a film for providing patients and their caregivers learning ROM; furthermore, establishing auditing system and periodic examining the result. After implementing strategies, the executing rate of ROM increased to 90%. Our strategies improved the efficacy of the initial stage outcomes in stroke patients, reduced physical disabilities and enhanced the satisfaction during hospitalization.

並列關鍵字

stroke patients ； range of motion (ROM) ； early intervention