提升護理人員執行兒童心臟手術前護理指導之完整率

Improving Comprehensiveness of Information Given to Pediatric Cardiac Surgery Patients Prior to Surgery

劉淑娟(Shu-Juan Liu) ； 陳豐霖(Fong-Lin Chen) ； 黃淑媛(Shu-Yuan Huang) ； 陳鈺如(Yu-Ju Chen)

《護理雜誌》 59卷4期 (2012/08) Pp. 71-78

https://doi.org/10.6224/JN.59.4.71

摘要

背景病童接受心臟手術治療時，需裝置許多醫療儀器設備，常會使父母親面臨龐大的壓力。然病童父母親的壓力來源主要是對於病童術後情況的知識不足，若於進行心臟手術之前，由護理人員給予病童狀況及儀器使用的術前衛教，或可減少父母親的壓力與焦慮，故引發本專案改善動機。目的提升護理人員執行兒童心臟手術前護理指導之完整率，使父母於病童接受手術前充份了解相關訊息。解決方案擬定護理指導作業標準流程並進行稽核、錄製影片及製作單張協助衛教進行、針對護理人員舉辦教育訓練並規範將護理指導列入交班的改善措施。結果護理人員執行兒童心臟手術前護理指導的完整率由78%提升至98%；病童父母瞭解護理指導知識由52%提升至96%。結論本專案的介入措施有效改善兒童心臟手術前護理指導的完整率，使得臨床護理更加落實且有效率，值得兒科相關單位推廣。

關鍵字

兒科護理 ； 心臟手術 ； 衛教

並列摘要

Background: Cardiac surgery for critical pediatric patients places significant demands on hospital equipment and facilities. Parents of these patients are often under enormous stress due to insufficient knowledge regarding cardiac surgery and postoperative care procedures. This project used appropriate preoperative consultation given by nursing staffs to decrease stress and anxiety in parents of pediatric cardiac surgery patients.Purpose: This project worked to enhance the completion rate of preoperative instructions for pediatric cardiac surgery patients and ensure their parents received comprehensive information and knowledge.Resolution: The authors developed a standardized procedure for patient instruction and evaluation. Participants received instructions in the forms of a video presentation and printed handouts. Also, an educational training program was held and the implementation of preoperative patient instructions was made a routine task during nursing handover to enhance the completion rate.Results: The completion rate of patient preoperative instructions to pediatric cardiac surgery rose from 78% to 98%; The cognitive degree of participating parents rose from 52% to 96%.Conclusions: This intervention effectively increased the completion rate of preoperative instructions for pediatric patients scheduled for cardiac surgery and improved clinical pediatric nursing care practicability and efficiency.

並列關鍵字

pediatric nursing ； cardiac surgery ； patient instructions

參考文獻

白玉珠、陳怡礽、陳姿伶（2003）．提升某加護中心病人及家屬對護理指導之滿意度．榮總護理，20（2），200－210。

李淑葒、王維芳（2007）．運用關懷照護概念協助一位門診手術兒童及其母親之護理經驗．護理雜誌，54（6），89－96。

李淑莉、陳月枝（2001）．兒童經歷開心手術治療過程母親的壓力源及因應行為．護理研究，9（2），172－182。

陳淑芬、蔡麗雲、莊淑雅（2004）．腫瘤病房護理人員執行化學治療護理指導品質之改善方案．腫瘤護理雜誌，3（2），39－57。

許國正（2005）．先天性心臟病患童父母於開心手術前後需求之探討．慈濟護理雜誌，4（4），40－49。