頁籤選單縮合
題名 | 提升頭頸部腫瘤氣切病人轉送過程之完整性=Safeguarding the Patient Safety during Transfer of Head and Neck Cancer Patients with Tracheostomy |
---|---|
作者姓名(中文) | 洪秀琴; 蔡美菊; 林月娥; 陳昕霓; | 書刊名 | 腫瘤護理雜誌 |
卷期 | 14:2 2014.12[民103.12] |
頁次 | 頁37-51 |
分類號 | 419.5 |
關鍵詞 | 氣切病人; 轉送安全; 完整性; Tracheostomy; Transporting process; Completeness of transfer; |
語文 | 中文(Chinese) |
中文摘要 | 留置氣切病人在轉送過程中可能面臨呼吸型態改變、意識改變及氣切傷口出血等情形,本專案旨在提升頭頸部腫瘤氣切病人轉送過程的完整性。經由現況分析發現頭頸部腫瘤氣切病人轉送完整性僅達76.7%,主要原因為轉送認知不完整、缺乏完整標準流程及缺乏合適轉送工具,導致轉送完整性低。本小組經現況分析及文獻查證後,於2012年7月04日至2012年11月28日制定專科氣切病人轉送作業、專科轉送前完整核對表、製作氧氣桶換算表、改善轉送急救盤用物及規劃轉送準備實務在職育訓練。經方案實施介入後,護理人員執行氣切病人轉送完整性由原本的76.7%提升為100%,護理人員轉送認知也由78.1%提昇至100%,達本專案設定目標,執行結果可推廣至其他氣切病人以提昇病人安全及醫療照護品質。 |
英文摘要 | The patients with tracheostomy are known to develop changes in the breath pattern or mental status, and massive bleeding from the tracheostomy wound during the transfer between floors. The purpose of this project is to explore the integration of transfer process for patients with tracheostomy on the ENT ward. The authors conducted a survey regarding the integration for transporting process and the result showed only 76.7% of compliance rate. The major causes of low compliance included the inadequate awareness or knowledge of the transfer procedure, absence of standard post-surgery transfer protocol, and lack of appropriate transfer equipment. After literature review and group discussions during the period of July 4th to November 28th, 2012, strategies were developed to resolve the issues which included standardization of postsurgery transfer protocol for tracheostomy, compliance checklist before transporting, Oxygen conversion list, a standard first aid kit, and continuing nursing education program. On patient transportation. After the strategies were implemented, the results showed that the transfer compliance rate improved from 76.7% to 100%, and the knowledge of nursing care during transfer increased from 78.1% to 100%. The results demonstrated a great improvement and reached the project goal. The results may assist other healthcare professional to provide safe transfer to patients with tracheostomy to promote the quality of nursing care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。