- 期刊
提昇第一型糖尿病病童護理指導完整率之方案
Promoting the Nursing Instruction for Children with Type-1 Diabetes Mellitus (IDDM)
摘要
糖尿病病童於住院期間得到完整的護理指導可增進認知，於返家後能有好的自我照顧能力。本專案目的在提昇第一型糖尿病病童之護理指導完整率。專案期間為2013年1月31日~2013年9月30日，調查發現：病童認知率為70.67%，護理人員執行護理指導完整率75.69%，分析原因為：護理人員認知不足、護理指導規範不完整、護理指導內容繁複、缺乏回示教病童內容、缺乏輔助教學工具、環境不合適、監測機制不明確。經由舉辦在職教育、訂定護理指導規範、製作多媒體護理指導工具、增設實體護理指導工具、改善護理指導環境、修訂回示教內容、訂定監測機制。專案推行後病童認知率為93.33%，護理人員護理指導完整率為97.22%。顯示專案實施可提昇對第一型糖尿病病童接受護理指導之完整性，使病童能獲得個別及整體的照護。
並列摘要
Children with IDDM who received complete care guidelines during their hospitalization period would increase theirunderstanding about their illness and enhance their self- care abilities when returned home. The purpose of this project was to increase the care instruction completion rate for children with type-I diabetes mellitus. The duration of this project was between Jan 31^(st), 2013 to Sep 30^(th), 2013. The initial investigation prior to the project indicated that the completion rate of patient education on child patients' illness knowledge and nursing instruction were 70.67 and 75.69%, respectively. The factors influencingt these variations in illness knowledge were listed as the followings: (1) lacking knowledge of the nursing staff regarding IDDM patient education, (2) lacking care guideline as well as IDDM patient education contents, (3) unsupportive teaching facilities and environment, and (4) unclear continuous monitoring protocols. In the process of developing this project, there were at least six outcomes achieved: (1) a nursing instruction standard operation procedure was determined, (2) multimedia instruction tools were prepared, (3) continuous education seminars were organized and conducted, (4) additional nursing care instruction tool hardware were made available, (5) nursing care instruction environment has improved, and (6) continuous monitoring protocols were constructed. After the completion of this project, the child patients' illness knowledge and thenursing staff instruction were increased to 93.33 and 97.22%, respectively. These results indicated that this project can effectively increase the nursing instruction completion rate for the children with type-I diabetes mellitus, and thus, these child patients may understand their illness and the associated care better after the nursing instruction and receive individualized care and enhance the quality of care as whole.