提升兒科病房癲癇病童腦波影像儲存之完整率

背景：本文旨在提升兒科病房癲癇病童腦波影像儲存之完整率，調查2016年1月1日至2016年3月10日共20位執行腦波影像檢查的病童，臨床發現15位（75%）個案影像儲存不完整，完整率僅25%，以致醫師無法判讀腦波影像，影響治療時機，故引發本專案改善之動機。目的：提升癲癇病童腦波影像儲存之完整率達100%。解決方案：經文獻查證及團隊討論後，設立改善措施，包含加強宣導、制定標準化流程、暖暖熊告示牌及簡易卡通家屬衛教卡、舉辦在職教育等各項措施介入。結果：專案措施介入後，癲癇病童腦波影像儲存完整率提升至100%，明顯達專案目標。結論：期望藉此分享提升癲癇病童腦波影像儲存之完整率，使癲癇病童家屬於檢查過程中能感受到護理人員用心關懷之意，並降低醫療成本。

關鍵字

癲癇病童；腦波影像儲存

並列摘要

Background & Problems: A total of 20 cases of children with epilepsy implemented electroencephalography (EEG) recording examinations in our ward between January 1st and March 10th, 2016. Fifteen (75%) of the recordings were incompletely stored, indicating that the EEG recordings storage integrity in our unit was 25%. Incomplete storage of these recordings results in prolonged hospital stays and negatively affects the ability of doctors to provide accurate diagnoses. Purpose: This project was developed to increase the EEG recording storage integrity for epileptic children to 100%. Resolutions: Improvement plans included reinforcing related promotions, formulating a standard flowchart for EEG recording education, making ＂warm bear signs＂, designing simple cartoon health-education flashcards, and providing in-service education. Results: The EEG recording storage integrity for epileptic children in our ward rose to 100% after implementation of the resolution measures, which achieved our purpose. Conclusions: We want to share this experience to improve the storage integrity of EEG recordings at other hospitals and clinics. The greatest benefit of this project was that the family members of children with epilepsy perceived more strongly the effort and care of the nursing staffs during examinations, which reduces the costs of healthcare.

並列關鍵字

children with epilepsy ； EEG recordings storage

參考文獻

洪聖哲（2016）．兒童癲癇的影像評估．臨床醫學月刊，78（5），258–262。[Hung, S. C. (2016). Assessing the images of children with epilepsy. Clinical Medicine Monthly, 78(5), 258–262.] https://doi.org/10.6666/ClinMed.2016.78.5.016

余淑夏（2012）．照護一位癲癇併發展遲緩病童之護理經驗．領導護理，13（4），60–69。[Yu, S. S. (2012). A nursing experience of caring for a child with developmental delay secondary to epilepsy. Leadership Nursing, 13(4), 60–69.] https://doi.org/10.29494/LN.201212.0008

洪碧蓮、林佩津、曾碧萊（2014）．某醫學中心兒童住院病患抗癲癇藥物使用合理性之回溯性評估．臺灣臨床藥學雜誌，22（4），207–217。[Hung, P. L., Lin, P. C., & Tseng, P. L. (2014). The retrospective evaluation of antiepileptic drugs utilization in pediatric in-patients of a medical center. Formosa Journal of Clinical Pharmacy, 22(4), 207–217.] https://doi.org/10.6168/FJCP.2014.2204.02

Cossu, M., Fuschillo, D., Cardinale, F., Castana, L., Francione, S., Nobili, L., & Russo, G. L. (2014). Stereo-EEG-guided radio-frequency thermocoagulations of epileptogenic grey-matter nodular heterotopy. Journal of Neurology, Neurosurgery & Psychiatry, 85(6), 611–617. https://doi.org/10.1136/jnnp-2013-305514

Murbach, M., Neufeld, E., Christopoulou, M., Achermann, P., & Kuster, N. (2014). Modeling of EEG electrode artifacts and thermal ripples in human radiofrequency exposure studies: EEG electrode artifacts in human RF exposure. Bioelectromagnetics, 35(4), 273–283. https://doi.org/10.1002/bem.21837

國際替代計量

提升兒科病房癲癇病童腦波影像儲存之完整率

全文下載

主題瀏覽