骨科病患因下肢的損傷，常需藉由枴杖來輔助行走。本專案係針對使用枴杖助行 之個案，建立一致性衛教標準及客觀評值辦法，以提升護理照顧品質。依據持續品質改進過程， 進行現況分析及確立問題，擬定可行之衛教方案，制定枴杖使用衛教單張、枴杖使用護理標 準及骨科病患枴杖使用衛教成果評值表，並加以宣導執行。 本專案是在臺北市某醫學中心骨科病房推行，自82年4月1日至84年12月31日，總計收案 270位。所收集資料以百分比、平均值、標準差、one-way ANOVA及t-test做統計分析。結果 顯示知識平均得分為39.11分，比宣導前34.87分，進步4.24分，技能的平均得分為58.20分， 比宣導前43.34分，進步14.76分，進步情形兩者均達統計上顯著的差異(P<.001)。 由專案結果顯示，有計畫的衛教，能提高病患使用枴杖的技能與知識，可作為臨床護理 工作之參考。本專案亦可再擴及助行器使用病患之衛教，讓病患「行」「走」更踏實。

　　　　　The purpose of this project was to establish a patient education standard and evaluation for patients walking with crutches, based on the process of continuos quality improvement. First , the data about current situations was analyzed and problems were identified. An effective teaching method, crutches walking information, and crutches walking nursing standards were implemented and evaluated. Subjects were chosen from a medical center in metropolitan Taipei, Taiwan. Total sample size was 270. Descriptive analysis t-test , and one-way ANOVA were used to analyze collected deta. The findings indicated that knowledge and skill of crutches walking had significantly improved. Based on the project findings, a well-planed teaching program for patients with crutches walking is recommended.