頁籤選單縮合
題 名 | 長期照護機構院民評估及護理過程支援系統中文電腦化之展望=An Expectation of Chinese Computer System for Assessment and Nursing Rocess Support System of Residents in Long-term Care Facilities |
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作 者 | 葉淑惠; 賀天蕙; 林麗味; 鄭英偉; 蔡富棉; 蕭秋月; 許雯惠; 葉明莉; | 書刊名 | 長期照護雜誌 |
卷 期 | 6:2 2003.01[民92.01] |
頁 次 | 頁26-37 |
分類號 | 419.76 |
關鍵詞 | 長期照護機構; 院民評估; 護理過程支援系統; 照護品質; Long-term care facilities; Assessment of residents; Integrated computer system; Nursing process support system; Quality of care; |
語 文 | 中文(Chinese) |
中文摘要 | 國內老化人口不斷的增加,殘病老人的長期照護已成為當今醫療衛生及社會福利迫切的議題;而其中最令人憂心的議題是長期照護機構對殘病老人所提供的醫療照護品質;機構中的照護品質是直接影響殘病老人身心健康狀況及醫療保健花費的重要因素。葉氏(1997)研究發現,護理之家有65%以上院民在入院期間為曾被測量體重;並且立案及非立案長期照護機構中,部份院民沒有病例記錄,或相關的院民基本資料支離不全;因而顯示目前長期照護機構無法提供院民健康問題的追蹤或具體比較其病情變化,更無法有效地進行持續性個別化照護。有鑑於此,本文主旨在呼籲未來的研究能夠結合長期照護之行政者、護理人員、老人護理專家、老人醫學專科醫師及軟體設計專家共同發展本土化長期照護機構院民評估及護理過程支援系統,透過中文電腦化過程,再依據護理之家工作人員使用中文電腦系統後,對該系統提出的適用性限制及建議,進一步修正及簡化中文電腦系統。預期由中文電腦化系統院民評估的結果,簡易地為每位院民整合一份潛在及現存健康問題、護理診斷、護理介入措施及預期護理成效;進而減少護理人員書寫記錄的時間及院民的醫療花費,同時提供院民個別化的照護,以提高長期照護機構院民照護品質。亦可作為健康照護行政人員對長期照護機構的監測及輔導之系統。 |
英文摘要 | A Chinese computer system for the nursing assessment and support for resiendts in long-term care facilities is sorely needed. As the number of the elderly people in Taiwan increases, a major concern for health professionals and family caregivers of the frail elderly is the quality of care in long-term care facilities. The quality of care in long-term care facilities directly affects the health of the elderly residents and the cost of health expenses. In a previous report showed that 65% of the elderly in long-term care facilities did not have body weight records (Yeh, 1997). During the course of that study, the research also discovered that some long-term care facilities did not have their residents' medical charts or health parameters on record. The absence of these records showed that long-term care facilities in Taiwan are not kinetically monitoring and cannot kinetically monitor their residents' medical health parameters or nursing outcomes. Obviously, an assessment and monitoring system is needed. When one is developed, it will probably be done by computer. When designing such a system, many needs must be considered. This article aims to point out some important considerations in the development of such a system. First, any computer system for the nursing assessment and support for residents in long-term care facilities in Taiwan should use the Chinese reading system and take into account the culture background of Chinese. It should provide a kinetic record, nursing intervention protocols and a menas of evaluation the health status of elderly residents. Herein we propose a flow chart for a Chinese computer system that will assess the health parameters of the residents in long-term care facilities and provide integrated support of the nursing process. The program should link medical administrators, physicians, nurses in nursing process. The program should link medical administrators, physicians, nurses in nursing homes, programmers, and geriatric faculties who want to come to a better ocnsensus on the evaluation of health-care quality at these facilities and would have link to other programs that perform nursing diagnosis and information about interventions. The alpha and beta versions of the software should to be field-tested in select nursing homes for three to six months and adjusted to ensure that is user-friendly and practical for all who use it. With such a system, nursing care and services for the elderly can be improved in quality, time efficiency and cost control. Finally, if needed, such as system could be usesd by health care providers and governmental health organizations to monitor and evaluate the quality of care in long-term care facilities for the elderly. |
本系統中英文摘要資訊取自各篇刊載內容。