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題名:改善學齡期重症病童表達訊息之溝通模式
書刊名:護理雜誌
作者:陳瑾芬連婉倩黃照雅
作者(外文):Chen, Jin-fenLien, Wan-chienHuang, Chao-ya
出版日期:2013
卷期:60:2
頁次:頁71-78
主題關鍵詞:重症病童學齡期表達溝通溝通板Children in PICUSchool-agedExpressCommunicationCommunication board
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:13
  • 點閱點閱:40
背景:兒科加護病房病童因疾病因素進行插管治療時,影響病童表達其需要,本專案使用自擬觀察紀錄表,並採用實際觀察及訪談方式,發現臨床人員因無適合工具,在與病童溝通上費時卻又無法了解病童需求,甚至有50%的病童因需求無法立即滿足,進而產生部分負向行為。目的:透過專案建立適宜的溝通方式改善病童與護理人員的溝通模式,使病童的需求得到滿足並提升護理人員與病童的有效溝通。解決方案:本專案針對重症學齡期病童發展多元化之溝通輔具(溝通圖卡、掌上型溝通板、注音磁板),藉由溝通輔具以及教育訓練來解決溝通費時及提高病童需求被滿足率。結果:重症病童需求被滿足率由50%提升至98%,護理人員了解病童需求的時間由每次15分鐘縮短至4分鐘。結論:此專案有利於臨床護理人員與病童關係的建立以及互動,期望藉由此專案可推廣溝通輔具於臨床,作為重症兒童溝通及減輕因溝通不良所產生的住院壓力之運用。
Background & Problems: Children in the PICU who are treated for illnesses using intubation are often unable to express their needs effectively. This project first used a self-designed survey to record the researcher's observations and interview data. Results indicated that even with clinical staffs trying their best to understand PICU patient needs, 50% of the patients had unmet demands due to inadequate communication. This unmet demand was a source of negative patient behavior.Purpose: This project developed an appropriate communication system to improve communication efficacy between children and clinical staffs in order to meet patient demands and improve PICU patient outcomes.Resolution: Various types of auxiliary school-aged-children-appropriate communication tools such as picture cards, hand-held communication boards, and magnetic spelling board were used. Using these communication tools together with education and training greatly improved communication efficacy and patient needs provision.Results: Percentage of patient needs met increased from 50% to 98% and the average time clinical staffs needed to spend to understand a patient's needs decreased from 15 to 4 minutes per instance.Conclusions: This project improved relationships and interactions between clinical nurses and school-aged children. The developed auxiliary communication tools may be introduced in the PICU based on the results of this project as an effective approach to improving patient-staff communication and reducing patient-perceived hospitalization stress.
期刊論文
1.張毓蓉(20070600)。溝通輔助系統在早期療育的介入探討。中華民國聽力語言學會雜誌,20,67-77。  延伸查詢new window
2.張祐瑄、戴玉慈(20110600)。應用治療性遊戲於肝臟移植術後學齡期兒童之護理經驗。護理雜誌,58(3)附冊,79-84。new window  延伸查詢new window
3.黃素猜、葉倩菁(20021200)。某醫學中心呼吸器患者溝通板使用效果之評價研究。健康促進暨衛生教育雜誌,22,81-85。new window  延伸查詢new window
4.Li, W., H. C.、Lopez, V.、Lee, T. L. I.(2007)。Effects of pre-operative therapeutic play on outcomes of school-age children undergoing day surgery。Research in Nursing & Health,30(3),320-332。  new window
5.Magnus, V. S.、Turkington, L.(2006)。Communication interaction in ICU-Patient and staff experiences and perceptions。Intensive and Critical Care Nursing,22(3),167-180。  new window
6.Schaefer, C. E.、Drewes, A. A.(2008)。The therapeutic powers of play and play therapy。Rationale for Integrating Play Therapy and CBT,72,3-15。  new window
7.池惠民(20060900)。治療性遊戲於Guillian-Barre症候群病童護理之運用。榮總護理,23(3),242-250。new window  延伸查詢new window
8.黃楷甯、林庭妤、陳淑卿、陳秀貞、黃淑禎、楊景瑜(20081200)。氣切造口病人手術後需求的溝通障礙改善專案。領導護理,9(2),82-95。  延伸查詢new window
9.Finke, E. H.、Light, J.、Kitko, L.(2008)。A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication。Journal of Clinical Nursing,17(16),2102-2115。  new window
10.劉雅文(20010600)。一位高位頸椎損傷學齡期病童之護理經驗。榮總護理,18(2),113-124。new window  延伸查詢new window
 
 
 
 
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