提升攝護腺根除病人尿失禁照護指導完整率

Increase the Completing Rate of Nursing Instruction for Patient with Urinary Incontinence after Receiving Radical Resection of Prostate

張秀慧(Hsiu-Hui Chang) ； 陳儷娟(Lee-Chuan Chen) ； 陳怡芳(Yi-Fang Chen) ； 黃小芬(Shiou-Feng Huang) ； 蔡美菊(Mei-Chu Tasi)

《長庚科技學刊》 29期 (2018/12) Pp. 101-113

https://doi.org/10.6192/CGUST.201812_(29).10

摘要

本專案旨在提升攝護腺根除術病人尿失禁照護指導完整率，增加病人對尿失禁自我照護的認知，提升生活品質。經調查發現照護指導完整率偏低，使病人常來電詢問尿失禁照護問題，分析原因為：攝護腺癌衛教手冊缺乏尿失禁相關內容、在職教育訓練不足、缺乏尿失禁照護手冊、護理人員是否已指導病人尿失禁照護交接不全、缺乏護理指導時機標準作業流程。於2014年06月01日至2015年01月15日進行改善方案：舉辦尿失禁照護在職教育、印製尿失禁照護手冊、設計尿失禁護理指導執行表單、制定護理指導時機標準作業。執行後使照護指導完整率由32%提升至90%；返家後病人尿失禁自我照護的認知率達100%，遵從率達86%。有效改善護理指導品質，提升病人尿失禁自我照護能力。

關鍵字

攝護腺根除術 ； 尿失禁 ； 照護指導

並列摘要

Urinary incontinence is a common complication among patient undergoing radical resection of prostate. A proper nursing instruction can greatly ease the discomfort and better the outcome of the surgery. The aim of this project is to increase the completing rate of nursing instruction, and enhance patient's awareness of self-care thus improve patient's life quality. A clinical survey shown that incomplete nursing instruction has led to the rising inquiry calls of discharged patient. Factors were analyzed and the main reason were revealed as below: insufficient information in booklet of patient education, inadequate in-service training of nursing staff, lack of booklet specialized in urinary incontinence, indistinct handovers among nursing staff, last but not the least, lack of standard operation procedure of nursing instruction. A series of improvements has been proceeded during 1^(st) June 2014 to 15^(th) January 2015. Project of improvements includes: publication of booklet about selfcare of urinary incontinence, holding in-service training for nursing staff, designing hand-over sheet of nursing instruction and standard operation procedure of nursing instruction. After the project of improvement, the rate of complete nursing instruction has raised from 32% to 90%, and patient's awareness rate of urinary incontinence self-care at home also reach 100% while the rate of compliance are 86%. By reinforcing the process of nursing instruction, the quality of care can greatly improve and the ability of urinary incontinence self-care of discharged patient can also be enhanced.

並列關鍵字

radical resection of prostate ； urinary incontinence ； nursing instruction

參考文獻

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