提昇氣切造口居家照護護理指導完整率專家

Improving Nursing Instruction for Care of Outpatient Tracheostomies

高美錦(Mei-Chin Kao) ； 張美娥(Mei-Er Chang) ； 吳蕙蘭(Huei-Lan Wu)

《馬偕護理雜誌》 5卷1期 (2011/01) Pp. 32-40

https://doi.org/10.29415/JMKN.201101_5(1).0004

摘要

從家庭照顧者的角度來看，氣切留置病人返家除需要專人照護外，尚需要了解疾病相關照護知識及技巧、社會資源運用及尋求經濟支持等協助。教導及執行正確的氣切造口護理可以減少傷口的感染、發燒、肺炎及再住院率，本專案目的旨在提昇氣切造口居家照護護理指導完整率達90%。調查發現：護理人員執行氣切造口居家照護護理指導完整率僅43%，分析原因有：缺乏氣切造口居家照護護理指導作業標準、缺乏護理指導輔助工具、缺乏相關教育訓練、對護理指導內容不熟悉等因素。經由制定氣切造口居家照護護理指導標準作業流程、氣切造口居家照護護理指導手冊、設置護理指導用物箱、舉辦在職教育、制定新進人員專科病房技術操作標準審核單等方法，護理人員執行氣切造口居家照護護理指導完整率由43%提昇至94%，促使護理人員能於病人出院前提供正確且完整的護理指導，減輕照顧者的壓力，提高氣切留置病人的照顧成效及長期照護之照顧品質。

關鍵字

氣切造口 ； 氣切造口居家照護

並列摘要

When a patient is discharged home with a tracheostomy, the caregivers must be taught how to care for the tracheostomy properly in order to reduce the risk of wound infection, fever, pneumonia, and re-hospitalization. A survey indicated that complete instruction was provided to caregivers in only 43% of cases of outpatient tracheostomies. Deficiencies found included a lack of standardized procedures for care, inadequate instructional equipment, failure to train nurses in training the caregivers, and nurses' lack of familiarity with the content required in such instruction. A project was implemented to develop standard operating procedures, an instruction manual and equipment set, in-service education, and to insure that new home care nurses all received the training. After implementation of the program, instruction for outpatient tracheostomy caregivers was completed in 94% of cases. In addition to improving the care provided for patients at home, caregivers felt less pressure and were more confident that they understood how to manage the tracheostomy effectively.

並列關鍵字

tracheostomy ； outpatient ； caregiver