頁籤選單縮合
題 名 | 降低居家個案鼻胃管重複置換之方案=Reduce the Replacement of Nasogastric Tube among Home Care Patients |
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作 者 | 張惠甄; 王蓉敏; 王淑慧; | 書刊名 | 長期照護雜誌 |
卷 期 | 15:2 2011.08[民100.08] |
頁 次 | 頁131-144 |
分類號 | 429.5 |
關鍵詞 | 居家護理; 鼻胃管滑脫之預防; 鼻胃管重複置換; Home care; The nasogastric tube slippage; Repeated nasogastric tube replacement; |
語 文 | 中文(Chinese) |
中文摘要 | 鼻胃管管路安全和滑脫意外事件,是居家護理重要品管指標。本專案小組發現從2008年1月至12月鼻胃管重複置換率達6.65%。因此本專案目標為減少居家個案鼻胃管重複置換率。經現況調查分析確立問題有:1.缺乏防範鼻胃管重複置換之護理指引;2.鼻胃管防範衛教資料不足;3.缺乏約束替代性措施評估;4.鼻胃管固定擺放不正確。因此訂定以下措施:「防範鼻胃管重複置換流程及紀錄表」及「鼻胃管照護衛教單張」、張貼「防範鼻胃管重複置換5部曲」海報(中、印、越版)、應用「約束替代性措施評估表」、創新「垂直型兩點式蝴蝶鼻胃管固定法」等方案後,為期8個月的改善追蹤,使本居家護理所個案鼻胃管重複置換率降至0.98%,有效達到專案目標。由此可知,創新鼻胃管固定法與完整的衛教方案的重要性,進而提升照護品質,進而達到病人安全之目標。 |
英文摘要 | According to the annual quality control report within a home care unit, a baseline replacement rate of nasogastric tubes was recorded as 6.65% in 2008. In reference to this observation, we carried out a project to reduce the nasogastric tube replacement rate in a home care unit. From our analysis, we found that the causes of the high nasogastric tube replacement rate included the following: (1) a lack of a clinical pathway for standard nasogastric tube care (2) inappropriate education programs resulting in caregivers' lack of knowledge (3) a lack of a substitute program for restraint and (4) inappropriate techniques to firm the nasogastric tube. Having identified these problems, the following interventions were proposed to address them: (1) the implementation of a nasogastric tube replacement nursing care tracking form; (2) the establishment of standard techniques in nasogastric tube care to stabilize the tube; and (3) the provision of an illustrated education booklet and poster in Chinese and other languages for non-Chinese carers, focusing upon an innovative technique to prevent the accidental removal of the nasogastric tube. After implementation of the intervention program, the unexpected nasogastric tube replacement rate was reduced to 0.98%. This study highlights the importance of an innovative technique combined with an education program that contributed to a control of the unexpected nasogastric tube replacement rate in a home care unit. |
本系統中英文摘要資訊取自各篇刊載內容。