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題名:提升兒科加護病房護理人員執行復健擺位正確率專案
書刊名:長庚護理
作者:郭伊婷曾慈敏孫靜芸許雅芬黃小萍蔣玉滿
作者(外文):Kuo, I-tinTseng, Tzu-minSun, Ching-yunHsu, Ya-fenHuang, Hsiao-pingChiang, Yu-man
出版日期:2017
卷期:28:1=97
頁次:頁72-84
主題關鍵詞:兒科加護病房復健擺位擺位正確率Pediatric intensive care unitRehabilitation positioningAccuracy of positioning
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(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:17
  • 點閱點閱:5
復健擺位有助於早產兒生命徵象的穩定及骨骼、神經肌肉的發展,對於斜頸、骨折、臂神經叢受損及腦性麻痺等,皆有矯正及維持治療的效果。專案實施前人員執行復健擺位正確率僅有55.6%,認知正確率僅達60.3%,分析原因主要為:缺乏復健擺位標準作業流程及照護指引、未舉辦相關在職教育,導致人員不知道其重要性與影響及如何執行復健擺位。針對原因擬定解決方案:舉辦在職教育訓練、制訂復健擺位照護指引及標準作業流程,製作復健擺位學習光碟。專案實施後人員執行復健擺位正確率由55.6%提升至93.6%,認知正確率由60.3%提升至90.6%。期盼藉由專案的推行與改善,以充實人員護理專業知識與技能,提升護理照護與服務的品質。
Rehabilitation positioning is necessary for preterm infants to stabilize their vital signs and maintain the development of skeletal and neuromuscular systems of patients with torticollis, fracture, brachial plexus injury, and cerebral palsy. Before we promote our nursing project, the correct rehabilitation positioning performed by our nursing staff reached only 55.6% and basic knowledge achieved 60.3%. The following were some of the possible causes: lack of an established standardized protocol or a clinical practice guideline and lack of related nursing continuing education topics. Possible solutions for the above mentioned problemsincluded providing related lectures for our nursing staff, establishing a standardized protocol or clinical practice guideline for rehabilitation positioning, and reproducing the learning vcdabout this topic. After the project, the correct rate of rehabilitation positioning performed by our nursing staff achieved 93.6% and the basic knowledge level achieved 90.6%. By introducing the nursing project, we hope to improve our nursing staff's knowledge and practical skills in order to provide better nursing care and quality service.
期刊論文
1.侯升雍、李茹萍(20090600)。護理人員照護癌末呼吸困難病患的知識、態度與行為趨向之研究。護理雜誌,56(3),46-56。new window  延伸查詢new window
2.蔡淑芳、林麗英(20111200)。二年期護理師(護士)訓練計劃實施成效評價。護理暨健康照護研究,7(4),277-285。new window  延伸查詢new window
3.張美華、許麗齡(20100800)。多媒體教材介入對護理人員心電圖學習之成效。護理雜誌,57(4),50-58。new window  延伸查詢new window
4.尹玓、陳瑛瑛、張秉宜、董曉萍、華一嗚、廖珍娟(20080800)。不同姿勢擺位對早產兒生理指標之影響。新臺北護理期刊,10(2),37-47。  延伸查詢new window
5.游雅蘭、蘇婉麗、劉惠玲、曾昭梅(20090300)。比較三種不同俯臥姿勢對早產兒生理指標的影響。榮總護理,26(1),18-26。new window  延伸查詢new window
6.Coughlin, M.、Lohman, M. B.、Gibbins, S.(2010)。Reliability and effectiveness of an infant positioning assessment tool to standardize developmentally supportive positioning practices in the neonatal intensive care unit。Newborn and Infant Nursing Reviews,10(2),104-106。  new window
7.Latal, B.(2009)。Prediction of neurodevelopmental outcome after preterm birth。Pediatric Neurology,40(6),413-419。  new window
8.呂心友、楊翠芬、黃棣棟、詹瑞棋、何鍾佑、張鴻毅(20100600)。選擇性背根切除術對於脊髓損傷併嚴重下肢痙攣之治療效果:病例報告。臺灣復健醫學雜誌,38(2),115-121。  延伸查詢new window
9.李翠玲(2008)。腦性麻痺學生在班級之擺位處理。中華民國特殊教育學會年刊,2008,317-331。  延伸查詢new window
10.林佳慧、曾雯琦、李淑燕、廖如文、蔣尚霖、蔣立琦(20130800)。臨床的隱憂--住院病人之自發性骨折。護理雜誌,60(4),93-98。new window  延伸查詢new window
11.翁成傑、蔡悅琪、楊豎鈴、黃慧君(20101100)。自發性骨折--某護理之家二病例報告。臺灣老年醫學暨老年學雜誌,5(4),287-296。  延伸查詢new window
12.曹佩埼、陳揚瑜、林靜宜、吳雅苓、許馨方、趙秋華、呂明蕙(2013)。提升護理人員執行早產兒支持性擺位之正確率。馬偕護理雜誌,7(1),32-40。  延伸查詢new window
13.陳巧旻、林凱慧、蘇綉雅、林梅香、許菊玲(20140400)。新生兒加護病房早產兒正確築巢擺位照護模式之改善專案。護理雜誌,61(2附冊),41-49。new window  延伸查詢new window
14.Rogers, G. F.(2011)。Deformational plagiocephaly, brachycephaly, and scaphocephaly. Part I: terminology, diagnosis, and etiopathogenesis。Journal of Craniofacial Surgery,22(1),9-16。  new window
圖書
1.廖華芳、王儷穎、劉文瑜、陳麗秋、黃靄雯(2011)。小兒物理治療學。台北市:禾楓書局。  延伸查詢new window
2.謝武勳、吳美環、陳倩儀(2014)。實用新生兒科醫療手冊。台北市:金名圖書。  延伸查詢new window
3.Case-Smith, J.、O'Brien, J. C.、王菁憶、汪佳陽、李亞霖、汪宗燁、阮心怡、卓柏宏、謝雅琳(2012)。兒童職能治療。台北市:台灣愛思唯爾。  延伸查詢new window
圖書論文
1.林文絹(2010)。教學方法。教學原理--護理實務上之應用。台北市:華杏。  延伸查詢new window
2.莊逸洲、黃崇哲(2012)。品質管理運作實務探討。醫療品質管理學。台北市:華杏。  延伸查詢new window
3.許煌澤(2012)。如何建立護理品質管理指標。護理品質管理--理論與實務。台北市:華杏。  延伸查詢new window
4.陳真瑗(2008)。擺位與移位。復健護理。台北市:華杏。  延伸查詢new window
 
 
 
 
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