人工膝關節置換病患復健運動照護品質之改善

The Project of Improving Quality of Care of Rehabilitation Exercise for Patients Receiving Total Knee Replacement

本專案目的為改善人工膝關節置換病患復健運動照護品質，運用了結構式問卷及行為觀察表收集資料得知，人工膝關節置換病患術前衛教執行率僅達5％、對衛教工具的滿意度為3.3（5分量法）、復健運動每日平均正確執行率為54.28％、接受復健運動指導平均滿意度3.89；綜合以上復健運動照護品質缺失，自民國91年6～12月進行本專案改善，提早於術前介入衛教錄影帶觀賞及主動提供人工膝關節照護手冊衛教指導，並藉由護理人員每日持續監測病患復健運動的正確執行率，期能提升病患復健運動之成效，經本專案改善結果為病患術前衛教執行率達100％、對衛教工具滿意度提昇至4.57、復健運動每日平均正確執行率提昇為94.66％、接受復健運動指導平均滿意度提昇為4.47。因此本專案改善後確實明顯提升人工膝關節置換病患術後復健運動照護品質。

The purpose of this project was to improve quality of care of rehabilitation exercise for patients receiving total knee replacement. Before this project was implemented, the results from a structured questionnaire and behavior observation sheet were as follows: 1) implementation rate of pre-operative health education was 5%; 2) the satisfaction of patient toward health educational tool was 3.3; 3) the accuracy rate of patients’ rehabilitation exercises on a daily basis was 54.28%; and 4) the satisfaction of acceptance of instruction regarding rehabilitation exercise was 3.89. In order to improve these figures, this project provided pre-operative health education and brochure and video regarding total knee replacement care to patients during June to December in 2002. Besides, nursing staff monitored accuracy of patients’ rehabilitation exercises on a daily basis to promote their effectiveness. The results revealed that 1) implementation rate of pre-operative health education was up to 100%; 2) the satisfaction of patient toward health educational tool increased to 4.57; 3) the accuracy rate of patients’ rehabilitation exercises on a daily basis raised to 94.66%; and 4) the satisfaction of acceptance of instruction regarding rehabilitation exercise increased to 4.47. Evidently, this project has significantly improved the quality of care of rehabilitation exercise for patients receiving total knee replacement.