目的:臨床發現川崎症住院病童發燒至確立診斷流程繁瑣,以致病童疼痛、家屬焦慮,對醫療產生抱怨。本文旨在改善川崎症住院病童友善醫療照護流程。方法:經現況分析發現:川崎症確診天數長達7.4天、病童疼痛不適致家屬產生焦慮、對團隊照護滿意度低、欠缺川崎症衛教輔助工具及診斷治療照護流程不完整是主要原因。經擬定改善措施:導入專區專人化照護、介入跨團隊照護、多元化跨時空衛教服務、修訂川崎症診斷治療標準化照護流程及建置資訊化發燒篩檢系統。結果:實施後,川崎症住院病童確診時間由7.4天降低至5天、病童疼痛指數由6.3分降至3分以下、家屬焦慮指數由78.3 mm降至30.1 mm、家屬對團隊照護滿意度提升至95.1%。討論:本專案的推行確實能改善醫療照護品質,並提升家屬對川崎症照護的滿意度。
Objective: Clinical experience shows a complicated process between a fever and a final diagnosis for a child with Kawasaki disease. The process often causes sick children to suffer in pain and parents to fall into anxiety and complaints about the health care system. The program is intended to improve the friendly health care for hospitalized children with Kawasaki disease. Method: Findings of present situation analysis: the time to diagnosis (TTD) being 7.4 days for Kawasaki disease; sick children suffering in pain causing anxiety in parents; low satisfaction with the care provided; a lack of educational tools for Kawasaki disease; and inadequate diagnosis and treatment procedures being the main reasons. Proposed improvements: creating a designated area staffed with full time carers; introducing cross-departmental care; implementing a variety of health education services free from space-time constraints; revising the standard diagnosis and treatment procedures for Kawasaki disease; and installing IT systems for fever screening. Results: Since the program was implemented, the TTD fell from 7.4 days to 5 days; the pain rating for sick children fell from 6.3 to 3 or lower; the parent anxiety rating fell from 78.3mm to 30.1mm; and the family satisfaction with the care provided rose to 95.1%. Discussion: The program is effective in improving the quality of health care and increasing family satisfaction with the care provided for Kawasaki disease.
為了持續優化網站功能與使用者體驗,本網站將Cookies分析技術用於網站營運、分析和個人化服務之目的。
若您繼續瀏覽本網站,即表示您同意本網站使用Cookies。