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| 題 名 | 運用跨職類合作與視覺提示提升胸腔復健運動一致性之品質改善專案=Improving Consistency in Chest Rehabilitation Exercises through Interprofessional Collaboration and Visual Cues |
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| 作 者 | 黃瓊怡; 紀宛岑; 洪詩惠; 吳惠娟; | 書刊名 | 彰化護理 |
| 卷 期 | 33:1 2026.03[民115.03] |
| 頁 次 | 頁24-33 |
| 分類號 | 418.92 |
| 關鍵詞 | 胸腔復健運動; 一致性; 跨職類合作; 視覺提示; Chest rehabilitation exercises; Consistency; Interprofessional collaboration; Visual cues; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6647/CN.202603_33(1).0005 |
| 中文摘要 | 背景:復健運動對呼吸器使用病人有助於 訓練呼吸肌、促進脫離呼吸器並降 低併發症。然而,2022-2023年本單 位胸腔復健運動跨職類執行一致性 僅2.6%,主因包括流程未標準化、 團 隊 溝 通 不 足 及 護 理 人 員 認 知 不 足,影響臨床照護品質與病人恢復 進度。 目的:提升亞急性呼吸照護中心胸腔復健 運動執行一致性與照護品質。 解 決 方 案 : 專 案 小 組 召 開 跨 職 類 共 識 會 議 , 建 立 標 準 流 程 並 修 訂 常 規 手 冊,針對護理人員進行教育訓練, 設計胸腔復健運動強度標示板作為 視覺提示與溝通平台,並納入日常 交班流程。 結 果 : 專 案 推 行 後 , 胸 腔 復 健 運 動 一 致 性由2.6%提升至100%,執行率由 78.6%升至82.4%,呼吸器脫離率由 61.6%升至64.3%,顯示標準化流程 與視覺化提示能有效提升執行一致 性與照護成效。 結論:跨職類合作與標準化流程可提升胸 腔復健運動一致性與照護品質,建 議持續推廣並納入新進人員訓練教 材,優化標示板介面並加強家屬衛 教,以提升長期療效。 |
| 英文摘要 | Background & Problems: Chest rehabilitation exercises benef it vent ilated pat ient s by strengthening respirator y muscles, facilitating ventilator weaning, and reducing complications. From 2022 to 2023, the consistency of chest rehabilitation exercises per for med t h roug h i nter professional collaboration in our unit was only 2.6%, p r i m a r i l y d u e t o n o n - s t a n d a r d i z e d procedures, limited team communication, and insufficient staff awareness, thereby affecting care quality and patient recovery progress. Purpose: To enhance the consistency of chest rehabilitation exercises and improve care quality in a subacute respiratory care center. Resolut ion: T he project tea m conducted interprofessional consensus meetings to establish standardized procedures and revise routine manuals. Education sessions were implemented for staff, and a visual cue board for chest rehabilitation exercises was developed as a communication platform integrated into daily handover routines. Result: Following project implementation, the consistency of chest rehabilitation exercises increased from 2.6% to 100%, the implementation rate improved from 78.6% to 82.4%, and the ventilator weaning rate rose from 61.6% to 64.3%. These results indicate that standardized procedures and visual cues effectively enhanced procedural consistency and care outcomes. Conclusion: Interprofessional collaboration supported by standardized procedures and visual cues effectively improved t he consistency a nd qu alit y of chest r e h a bi l it a t io n e xe r c i s e s . C o nt i nu e d implementation, integration into new staff training materials, optimization of electronic visual interfaces, and strengthened family education are recommended to sustain long- term outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。