提升神經內科病房護理指導課程滿意度

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  背景:鏡檢檢查是一種重要、侵入性檢查。對患者來說是一種壓力來源,會有不同程度的焦慮反應。在內視鏡檢查前提供衛教,可有效降低患者焦慮及對治療遵從性也會提升。目的:本單位為內科病房,因腸胃科患者佔50%,其中80%患者需接受鏡檢檢查,統計2013年2月~8月174 人接受鏡檢,僅135 人遵從衛教,因患者年紀大、照顧者常更換或由外傭照顧,及人員工作忙碌缺乏相關護理指導標準及輔助工具,衛教易造成彼此間認知差異,爲提昇照護品質,增進患者身體功能恢復,減少合併症發生,期望經由改善,使鏡檢病人能遵從護理指導,進而完成鏡檢。
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背景:內視鏡清洗刷洗作業流程很重要,須高層次消毒劑浸泡時間至少12 分鐘,才可將微生物及細菌孢子全部清除,使用上須謹慎避免發生副作用.目的:運用TRM 手法及創意巧思融入照護流程與作業,提昇OPA 泡消完整率.方法:運用查檢表與問卷測驗進行現況數據搜集如下:1.對OPA 泡消認知不足:醫師30 %、護理同仁60.5 %.2.泡消作業,作法不一,自評泡消完整率僅68.2 %.
背景:病人緊急出血時提供完整照護,可預防出血帶來的合併症.現況分析得知護理人員對胃腸道緊急出血之處置照護完整性僅達57.0 %.原因為人員對於照護處置項目不熟悉、缺乏整合緊急出血立即性提供的評估及內容與教育訓練不完整.目的:護理人員對胃腸道緊急出血時之處置照護完整性提升為98 %.