頁籤選單縮合
題 名 | 精神科急性病房晨間護理--病患身體清潔改善方案=A Project to Improve Morning Care--Patient Body Hygiene in Acute Psychiatric Wards |
---|---|
作 者 | 許鈴怡; 張淑雲; 許惠珠; | 書刊名 | 精神衛生護理雜誌 |
卷 期 | 2:1 2007.03[民96.03] |
頁 次 | 頁44-50 |
分類號 | 419.72 |
關鍵詞 | 精神科急性病房; 晨間護理; 身體清潔; Psychiatric acute ward; Morning care; Body hygiene; |
語 文 | 中文(Chinese) |
中文摘要 | 晨間護理是護理獨立性功能,它提供病患之基本身心需求,但臨床上常被護理人員忽略。本專案旨在降低急性病房晨間護理-病患身體清潔未完成率,經由資料分析了解問題的導因為:1. 護理人員對協助精神病患完成身體清潔能力不足--未將病患自我照顧能力依歐倫理論分級;2. 單位缺乏身體清潔之衛生教育政策;3. 晨間護理時間不足及未妥善運用;4. 晨間護理標準不適用;5. 清潔用品不足;6. 查核標準及獎賞缺乏。因此研擬此改善方案:1. 提昇護士評估能力並運用歐倫護理系統理論適時提供護理措施;2. 修正病患衛生教育政策;3. 調整並規劃運用晨間護理時間;4. 建立病房晨間護理標準;5. 建立病患清潔用品管理制度;6. 建立病患晨間身體清潔查核及獎勵制度。實行後未完成率由46.8%降至10%,有效改善病患清潔問題,並提昇照護品質。 |
英文摘要 | Morning care is an independent function of nursing care. It provides for patients' basic mental and physical needs. It is often neglected, however, by nursing staff in the clinical setting. The goal of this project was to reduce the rate of provision of inadequate morning care. Analysis of background data showed that causes of inadequate morning care are: 1. Nursing staff's limited capacity to assist the patient with self-care; failure to classify the patient's capacity for self-care by means of Orem's theory. 2. Unavailability of saniary education programs. 3. Limited or improperty used time for morning care. 4. Unavailability of standardized morning care. 5. Insufficiency of sanitary supplies. 6. Failure to check standards and provide rewards. We therefore tried to improve morning care by means of the following strategies: 1. Enhance the capacity of the nursing staff to evaluate patients using Orem's theory, 2. Develop a patient sanitary education program. 3. Regulate and plan time for morning care. 4. Develop standardized morning care in the acute ward. 5. Develop the sanitary supply manegement system. 6. Develop a system of standards, checks and rewards for morning care. After implementation of the above strategies, the percentage of inadequate morning care declined from 46.8% to 10%. Our project improved patients' sanitary work and effectively raised the quality of nursing care. |
本系統中英文摘要資訊取自各篇刊載內容。