頁籤選單縮合
題 名 | 以護理觀點談呼吸照護中心成立的初步經驗=The Experience of Establishing a Respiratory Care Center:From the Nurse's View Point |
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作 者 | 于煥中; 吳清平; 葉秀逸; 王如華; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 2:1 2000.01[民89.01] |
頁 次 | 頁91-99 |
專 輯 | 胸腔重症專題 |
分類號 | 419.7 |
關鍵詞 | 臨床成果; 護理人力; Clinical outcomes; Nursing manpower; |
語 文 | 中文(Chinese) |
中文摘要 | 臺北某醫學中心於1996年成立呼吸照護中心(Respiratory Care Center, RCC),目的是將加護病房内病況穩定而呼吸器脫離困難病患儘早轉至RCC,以協助病患脫離呼吸器和解決病患滯留ICU的問題。RCC有22張床位,護理人員數與床位比為1:1,具有ICU及ACLS證書的護理人員比率分別為50%和40.9%,病患APACHEII平均分數為18分,TISS平均分數為22分,與許多甲級ICU内病患相近,一年的資料顯示臨床相關成果佳,但因護理人力配置和硬體設備不足,進而影響病患及其家屬滿意度,在長期高工作負擔壓力下,亦影響護理人員工作滿意度和增加離職率,因此建議在病患轉入篩選、護理人力、教育訓練上必須審慎評估後調整。 |
英文摘要 | In 1996 the hospital established a respiratory care unit to care the patients difficult to wean and avoid patients tarry at ICU. This unit has 22 beds and the nurse number/bed ratio is 1:1. The ratios of nurses with ICU and ACLS certification are 50% and 40.9%. The average APACHEII and TISS score are 18 and 22 separately. The one-year data revealed good outcomes. However the disproportion of nurse number and patient acuity affects care quality, patient and family satisfaction, and nurse satisfaction of work. The author recommends to chose admission criteria and evaluate nurse preparation carefully in the future. |
本系統中英文摘要資訊取自各篇刊載內容。