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題名:以病人為中心的實證照護--實證衛教
書刊名:醫療品質雜誌
作者:蔣立琦鄭淑允陳玉如
出版日期:2015
卷期:9:5
頁次:頁10-15
主題關鍵詞:實證照護實證衛教共同決定SDM
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(0) 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:0
  • 共同引用共同引用:1
  • 點閱點閱:2
隨著醫藥科技的進步,慢性疾病成為當前醫療生態中的主要問題,如何教導慢性疾病病人各種生活型態的調整,以及教導病人與家屬其慢性疾病自我管理方式相當重要。過去衛生教育常是一份固定的衛教單張或是衛教本,將所有注意事項皆一一詳列之,然常未考量個案(病人)的個別性需求,且衛教內容也大多是一般性敘述,未能將實證文獻建議綜整、融入衛教內容,並透過分享決策過程與個案充分討論,以客製化方式規劃自己未來的生活型態。實證為基礎的跨專業團隊合作與分工是相當重要的,每位臨床專家都應該以實證為基礎,發揮自己的專業、專長,以病人為中心提供最佳實證照護。衛生教育或是病人教育是醫師、護理師、藥師、營養師、心理師、復健師等臨床專家每天執業時都必須共同進行的事情,醫護人員依據衛教單張所述重點,講述或是示範給服務對象。許多衛教單張內容並未說明各種行為改變的實證建議等級,或是其成果影響力(Effect Size),同時尊重病人與家屬的價值觀、自我決策,以及原本的家庭生活型態亦應被納入考量。事實上,應該在提供各種病人教育介入措施時,綜整文獻實證依據,並以病人與家屬能瞭解的語言,共同討論各種行為改變之優先次序,透過分享決策(Shared Decision Making)過程擬出個別化的病人衛生教育,才能以病人為中心、以實證為基礎的提供適切衛生教育給病人與家屬。
期刊論文
1.楊榮森(20080500)。老年人的跌倒與骨折預防。臺灣老年醫學暨老年學雜誌,3(2),78-90。  延伸查詢new window
2.Bischoff-Ferrari, H. A.、Orav, E. J.、Dawson-Hughes, B.(2008)。Additive benefit of higher testosterone levels and vitamin D plus calcium supplementation in regard to fall risk reduction among older men and women。Osteoporosis International,19(9),1307-1314。  new window
3.Davis, J. C.、Marra, C. A.、Beattie, B. L.、Robertson, M. C.、Najafzadeh, M.、Graf, P.、Liu-Ambrose, T.(2010)。Sustained cognitive and economic benefits of resistance training among community-dwelling senior women: a 1-year follow-up study of the Brain Power study。Archives of Internal Medicine,170(22),2036-2038。  new window
4.Huang, H. C.、Liu, C. Y.、Huang, Y. T.、Kernohan, W. G.(2010)。Community-based interventions to reduce falls among older adults in Taiwan-long time follow-up randomised controlled study。Journal of Clinical Nursing,19(7/8),959-968。  new window
5.Orr, R.、Raymond, J.、Fiatarone Singh, M.(2008)。Efficacy of progressive resistance training on balance performance in older adults: a systematic review of randomized controlled trials。Sports Medicine,38(4),317-343。  new window
6.Wang, M. Y.、Rousseau, J.、Boisjoly, H.、Schmaltz, H.、Kergoat, M. J.、Moghadaszadeh, S.、Freeman, E. E.(2012)。Activity limitation due to a fear of falling in older adults with eye disease。Investigative Ophthalmology Visual Science,53(13),7967-7972。  new window
7.Scheffer, A. C.、Schuurmans, M. J.、Dijk, N.、Hooft, T.、Rooij, S. E.(2008)。Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons。Age Ageing,37(1),19-24。  new window
8.Gillespie, L. D.、Robertson, M. C.、Gillespie, W. J.、Sherrington, C.、Gates, S.、Clemson, L. M.、Lamb, S. E.(2012)。Interventions for preventing falls in older people living in the community。Cochrane Database of Systematic Reviews,2012(9)。  new window
9.Kelly, M.、Dornan, T.、Yardley, S.(2014)。New opportunities in health care education evidence synthesis。Medical Education,48(10),1029。  new window
10.Bula, C. J.、Monod, S.、Hoskovec, C.、Rochat, S.(2011)。Interventions aiming at balance confidence improvement in older adults: an updated review。Gerontology,57(3),276-286。  new window
11.Karlsson, M. K.、Magnusson, H.、von Schewelov, T.、Rosengren, B. E.(2013)。Prevention of falls in the elderly: A review。Osteoporosis International,24,747-762。  new window
12.劉人瑋(20111100)。GRADE證據等級評比系統的臨床應用。醫療品質雜誌,5(6),42-45。new window  延伸查詢new window
圖書
1.Tones, K.、Tilford, S.(1994)。Health education: effectiveness, efficiency and equity。London:Chapman Hall。  new window
圖書論文
1.Boltz, M.、Capezuti, E.、Fulmer, T.、Zwicker, D.(2012)。Fall prevention。Evidence-based geriatric nursing protocols for best practice。National Guideline Clearinghouse。  new window
 
 
 
 
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