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題 名 | 應用個案管理提昇骨科出院準備服務方案=Using Case Management to Improve Discharge Planning in the Orthopedic Unit |
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作 者 | 楊馥美; 王金蓮; 湯玉萍; 張蘇鈺; | 書刊名 | 慈濟護理雜誌 |
卷 期 | 1:4 2002.12[民91.12] |
頁 次 | 頁73-82 |
分類號 | 419.73 |
關鍵詞 | 個案管理; 出院準備服務; Case management; Discharge planning; |
語 文 | 中文(Chinese) |
中文摘要 | 本專案目的係評價應用個案管理模式提昇骨科病患出院準備服務之效果。於90年8月開始收案,共收案高危險群患者118位,予加強居家照顧,護理指導及出院安置服務,非高危險群個案538位,予出院安置轉介41位,針對脊椎手術、人工髖關節、骨髓炎及旋轉肌袖口撕裂傷患者予電話追蹤服務共497位。專案結果顯示,在高危險群患者中,96.7%的患者完成傷口照護及服藥指導,94.9%及94.1%患者分別完成復健及疼痛處理指導,患者能按時返門診者佔 83.9%。非高危險群協助轉介55.6%,高危險群患者及針對特定手術個案之電話追蹤,均發現絕大多數個案能按時服藥及遵從日常生活注意事項。整體出院服務滿意度由3.6分增加4.4分。本專案運用個案管理模式提供出院準備服務,提早規劃病患出院準備及安置,及出院後電話追蹤服務,已達連續性照顧之目的,專案結果可提供骨科病患服務之參考。 |
英文摘要 | The purpose of this study was to evaluate the effects of applying a case management model in promoting discharge ser vice for or tho pe dic patients. From August 2001, we collected high risk 118 pa tients and 538 non-high risk patients . Among the 538 patients, 41 were arranged for transfer to other nurs ing homes and 497 patients were dis charged to their own homes. These 497 patients, who had received spinal surgery, joint replacement, treatment for osteomyelitis, or repair of a forn rotator cuff, were regularly followed-up via telephone by our nursing personnel. In the high risk group, the main work in discharge service was teach ing them about wound care and tak ing medication (96.7%), 94.9% and 94.1% con cerned re ha bil i ta tion ex er cis es and pain management. 83.9% came back to our out-pa tient clinic by appointment, In the non-high risk group, we helped 55.6% pa tients in their transferals. We found a high rate of com pli ance to our home self-care instruction among those 497 patients. After application of the case management model in discharge service, it rese from 3.6 points to 4.4 points. |
本系統中英文摘要資訊取自各篇刊載內容。