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題名:運用創新「活動式浴床」改善末期居家病人洗澡方式與洗澡舒適度
書刊名:護理雜誌
作者:杜淑文陳小妮黃淑鶴
作者(外文):Tu, Shu-wenChen, Hsiao-niHuang, Shu-he
出版日期:2015
卷期:62:3(附冊)
頁次:頁74-82
主題關鍵詞:末期疾病沐浴床洗澡居家照護日常活動功能Terminal illShower bedBathingHome careActivities of daily livingADL
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:9
  • 點閱點閱:368
背景 多數末期居家病人有洗澡功能障礙,加上居家的沐浴環境與設備限制,增加協助病人至浴室洗澡的困難度,嚴重地影響病人洗澡的身體舒適度與洗澡方式的滿意度。目的 透過創新「活動式浴床」專案提出便利的末期居家病人的洗澡方式與增進洗澡的身體舒適度。解決方案 藉由專案計畫的執行,使用洗澡評估工具,包括「洗澡身體舒適度評估量表」及自行擬定「洗澡方式滿意度調查表」,確實評估末期居家病人洗澡的執行的滿意度。並進一步評估影響末期居家病人洗澡的身體舒適度與洗澡方式滿意度的因素。透過可行性策略的評估,創新設計出「活動式浴床」輔具作為提升末期居家病人洗澡改善策略。結果 本專案設計之「活動式浴床」能夠有效改善末期居家病人的洗澡身體舒適度與洗澡方式滿意度。專案結果病人對洗澡方式表示非常滿意及滿意者有90%,病人的洗澡舒適度也由原來的平均3.9分提升至平均6.13分。結論 本專案透過確實評估末期居家病人的洗澡影響因素,透過可行策略的評估與行動,設計及運用「活動式浴床」改善末期居家病人的洗澡照護問題,加上此創新設計的洗澡照護輔具是一便宜、實用、操作簡便且可摺疊收納,可以運用在不同形式的住家床鋪,滿足末期居家病人洗澡的需求,提升其身體舒適度。
Background & Problems: Terminally ill patients frequently suffer from physical distress and a limited ability to perform activities of daily living. Bathing is a particularly troublesome problem for these patients, as the limitations of the home environment increase the challenges for caregivers to bathe terminally ill patients at home. Purpose: This study was developed to alter the current bathing methods of terminally ill patients in order to improve their physical comfort and to help caregivers better facilitate home-bathing care for their patients. Resolutions: A "portable shower bed" was introduced to allow patients to bathe in their own beds. The tools used to evaluate results were the Bathing and Physical Comfort Scale and the self-developed Bathing Satisfaction Questionnaire. Results: A total of 90% of participants expressed satisfaction with the portable shower bed. Furthermore, the average physical comfort score of participants improved from 3.9 to 6.13. Conclusion: The innovative portable shower bed is inexpensive, practical, foldable, easy to operate, safe, and comfortable. The bed significantly reduces the difficulties faced by caregivers in helping terminally ill patients bathe in home environments. This shower bed reduces the burden on caregivers by improving bathing care and the physical comfort of terminally ill patients.
期刊論文
1.莊育冠、林佩芬(20061000)。沐浴失能老人之沐浴服務模式的發展。長期照護雜誌,10(3),279-295。  延伸查詢new window
2.Cowdell, F.(2011)。Older people, personal hygiene, and skin care。MEDSURG Nursing,20(5),235-240。  new window
3.李英芬、蔡麗雲、張澤芸(20081100)。末期癌症病人之主要照顧者的負荷相關因素探討。安寧療護,13(4),394-410。new window  延伸查詢new window
4.Aminzadeh, F.、Edwards, N.、Lockett, D.、Nair, R. C.(2000)。Utilization of bathroom safety devices, patterns of bathing and toileting, and bathroom falls in a sample of community living older adults。Technology and Disability,13(1),95-103。  new window
5.Bischoff, K. E.、Sudore, R.、Miao, Y.、Boscardin, W. J.、Smith, A. K.(2013)。Advance care planning and the quality of end-of-life care in older adults。Journal of the American Geriatrics Society,61(2),209-214。  new window
6.Capodaglio, E. M.(2014)。Hospital bathroom ergonomics: Safety, usability and accessibility issues。Clinical Nursing Studies,2(4),1-11。  new window
7.Cohen-Mansfield, J.、Parpura-Gill, A.(2007)。Bathing: A framework for intervention focusing on psychosocial, architectural and human factors considerations。Archives of Gerontology and Geriatrics,45(2),121-135。  new window
8.Ellis, M. W.、Schlett, C. D.、Millar, E. V.、Wilkins, K. J.、Crawford, K. B.、Morrison-Rodriguez, S. M.、Tribble, D. R.(2014)。Hygiene strategies to prevent methicillin-resistant Staphylococcus aureus skin and soft-tissue infections: A cluster-randomized controlled trial among high-risk military trainees。Clinical Infectious Diseases,58(11),1540-1548。  new window
9.Johnson, M. J.、Bland, J. M.、Davidson, P. M.、Newton, P. J.、Oxberry, S. G.、Abernethy, A. P.、Currow, D. C.(2013)。The relationship between two performance scales: New York Heart Association classification and karnofsky performance status scale。Journal of Pain and Symptom Management,47(3),652-658。  new window
10.Larson, E. L.、Ciliberti, T.、Chantler, C.、Abraham, J.、Lazaro, E. M.、Venturanza, M.、Pancholi, P.(2004)。Comparison of traditional and disposable bed baths in critically ill patients。American Journal of Critical Care,13(3),235-241。  new window
11.Naik, A. D.、Concato, J.、Gill, T. M.(2004)。Bathing disability in community-living older persons: Common, consequential, and complex。Journal of the American Geriatrics Society,52(11),1805-1810。  new window
12.Novak, B.、Kolcaba, K.、Steiner, R.、Dowd, T.(2001)。Measuring comfort in caregivers and patients during late end-of-life care。American Journal of Hospice and Palliative Medicine,18(3),170-180。  new window
13.Peterson, C.(2001)。Exercise in 94℉ water for a patient with multiple sclerosis。Physical Therapy,81(4),1049-1058。  new window
14.Petrofsky, J.、Lohman, E.、Lee, S.、de la Cuesta, Z.、Labial, L.、Iouciulescu, R.、Malty, A. A.(2007)。Effects of contrast baths on skin blood flow on the dorsal and plantar foot in people with type 2 diabetes and age-matched controls。Physiotherapy Theory and Practice,23(4),189-197。  new window
15.Seyedfatemi, N.、Rafii, F.、Rezaei, M.、Kolcaba, K.(2014)。Comfort and hope in the preanesthesia stage in patients undergoing surgery。Journal of PeriAnesthesia Nursing,29(3),213-220。  new window
16.Traska, T. K.、Rutledge, D. N.、Mouttapa, M.、Weiss, J.、Aquino, J.(2012)。Strategies used for managing symptoms by women with fibromyalgia。Journal of Clinical Nursing,21(5/6),626-635。  new window
17.Gill, T. M.、Allore, H. G.、Han, L.(2006)。Bathing disability and the risk of long-term admission to a nursing home。The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences,61(8),821-825。  new window
學位論文
1.邱盛湘(2013)。新式輪式助行器摺疊機構的設計與開發(碩士論文)。  延伸查詢new window
2.陳玉葉(2007)。癌末病患居家照顧者照顧工作量及困難度與照顧壓力負荷之相關性探討(碩士論文)。輔英科技大學。  延伸查詢new window
其他
1.中央健康保險署(2013)。安寧居家療護支付方式問答輯,http://www.nhi.gov.tw/Resource/webdata/15125_2_36.%E5%AE%89%E5%AF%A7%E5%B1%85%E5%AE%B6%E5%95%8F%E7%AD%94%E8%BC%AF-%E7%AC%AC1%E6%AC%A1%E4%BF%AE%E8%A8%820601(102.07.29%E6%9B%B4%E6%96%B0).pdf。  new window
2.社會及家庭署多功能輔具資源整合推廣中心。洗樂沐浴床(洗澡床),http://repat.sfaa.gov.tw/07product/pro_a_main.asp?id=5129。  延伸查詢new window
3.Eastern Cooperative Oncology Group(2006)。ECOG performance status,http://www.ecog.org/general/perf_stat.html。  new window
4.內政部營建署(2008)。建築物無障礙設施設計規範,http://free.tycg.gov.tw/file/standard_16.pdf。  延伸查詢new window
 
 
 
 
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