肺部復健運動可發揮病人殘存的肺功能、改善呼吸困難、減少住院日數及再住院率,護理指導是影響其成效的重要因素。本專案以北部某醫學中心胸腔內科病房為對象,統計2010年6月COPD病人執行肺部復健運動正確率僅達46.8%,評核護理人員執行COPD病人肺部復健步驟正確率為70.8%、認知率為87%,故進行專案改善。改善方案包括:製作肺部復健運動護理指導影片光碟、製作肺部復健運動護理指導手冊、舉辦肺部復健運動在職教育課程、制定肺部復健運動照護規範。改善後COPD病人執行肺部復健運動正確率提升至97.9%,護理人員執行肺部復健運動正確率及認知率皆提升至100%,達成專案目的,對臨床護理工作有顯著幫助並提升照護品質。
Pulmonary rehabilitation exercise can prompt the impaired lung function in chronic obstructive pulmonary disease (COPD) patients to relieve discomfort, reduce the duration of hospitalization and readmission rates. The nursing Education optimizes the patient's pulmonary rehabilitation outcome. The subject of this project was the pulmonary ward of a tertiary-care center. According to the statistics in June 2010, the accuracy of pulmonary rehabilitation exercise among the COPD patients was only 46.8%, and when assessing the accuracy of the nurses when executing the pulmonary rehabilitation among the COPD patients was 70.8%, and the nurse's recognition rate was 87%. The following strategies of nursing education were implemented: create pulmonary rehabilitation nursing Education video discs and manuals, implementing the education programs of pulmonary rehabilitation for nurses, and establish nursing care standards for COPD patients receiving pulmonary rehabilitation. As result, the COPD patients' execution accuracy improved to 97.9%, the nurse's general recognition and the execution accuracy had both achieved 100%, accomplishing the Education goal of the project, and demonstrated apparent benefits on clinical nursing and nursing quality.
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