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題名:運用團隊合作降低神經內外科病房跌倒發生率
書刊名:榮總護理
作者:黃麗靜許美玲袁雅怡郭碧慧
作者(外文):Huang, Li-chingHsu, Mei-lingYuan, Ya-yiKuo, Pi-hui
出版日期:2016
卷期:33:1
頁次:頁32-40
主題關鍵詞:團隊合作神經內外科跌倒Multidisciplinary cooperationNeurological surgical and medicalFalls
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:4
  • 點閱點閱:1
神經內外科病人多為跌倒高危險群,本專案目的在透過團隊合作降低跌倒發生率,經由現況分析跌倒發生率高的原因為:預防跌倒護理指導不符使用、病人缺乏病識感、病人意識混亂、缺乏警訊機制及家屬對預防跌倒認知不足。經文獻查證及小組討論後,擬定解決對策:製作預防跌倒衞教資料、運用跨團隊合作,研發「防跌警訊安全防護帶」及播放預防跌倒錄音帶等措施,跌倒發生率由0.14%降為0.09%;建議可平行推廣至同性質之病房單位、居家場所及醫療機構,藉由跨領域的團隊合作,降低跌倒發生率,促進病人安全。
Purpose: Falls are common and should be prevented in neurological internal and surgical wards; the mean incidence of falls in these wards was 0.14% in 2012, significantly higher than that in other wards. This project primarily aimed to reduce the incidence of falls through interdisciplinary cooperation strategies. Methods: Four main strategies of fall prevention were applied, (a) Development-specifi c educational program of fall prevention for neurological patients and caregivers, comprising fall assessment fl owsheets, fall prevention acts during hospitalization, and patient safety related to fall injury. (b) A holistic and individualized care plan for supporting high-fall-risk patients, requiring a multidisciplinary team of a nurse, physician, rehabilitation therapist, and nutritionist. A series of daily activities, namely muscle training, gait stability exercise, a nutrition supplement plan, bedside movement, and nursing education were administered to patients. (c) A safety bed-belt was created to alert caregivers to patient needs. This alert device can help caregivers to check and provide necessary assistance to patients when the patients leave their beds. (d) Information on fall prevention was broadcasted for patients and their families to increase their knowledge of this topic. Results: Falls were defi ned as tumbles without resultant lesions. The average incidence of falls decreased from 0.14% to 0.09% from January to June, 2013. Conclusion: Specifi c educational programs, multidisciplinary care plans for fall prevention, safety bed-belts, and broadcasting fall prevention-related information reduced the incidence of falls and severity of fall injuries.
期刊論文
1.吳麗蘭、潘淑儀、黃瓊儀(20081200)。應用品質突破模式預防內科病房跌倒意外。北市醫學雜誌,5(6),619-628。  延伸查詢new window
2.施淑珠、蔡麗琴、湛智惠(20100300)。心臟內科病人預防跌倒改善專案。長庚護理,21(1)=69,49-59。new window  延伸查詢new window
3.王雅靜、曾恩娣、黃湘萍、韓晶彥(2009)。綜合科病房預防跌倒發生之改善對策。長庚科技學刊,11,49-55。  延伸查詢new window
4.李珮琪(2008)。一位腦中風個案出院準備服務經驗。榮總護理,25(1),21-30。new window  延伸查詢new window
5.洪嫦巧、許素珍、李來涼、黃秋綿(20130900)。The Effects of Contextual and Structural Factors on Patient Safety in Nursing Units。The Journal of Nursing Research,21(3),225-234。new window  new window
6.Hensbroek, P. B.、Dijk, N.、Breda, G. F.、Scheffer, A. C.、Cammen, T. J.、Lips, P.、Rooij, S. E.(2009)。The Carefll triage instrument identifying risk factors for recurrent falls in elderly patients。American Journal of Emergency Medicine,27(1),23-36。  new window
會議論文
1.吳夢恬(2008)。老年人跌倒評估方式與預防運動之介紹。2008南臺灣健康產業暨銀髮族健康照護學術研討會。台南市。  延伸查詢new window
其他
1.台灣醫療品質指標(2012)。醫療品質暨病人安全專區,http://wwwu.tsgh.ndmctsgh.edu.tw/public/web/index.asp#。  延伸查詢new window
 
 
 
 
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