提昇子宮內膜刮搔門診手術病患護理指導滿意度專案

A Project Studying Nursing Instruction Satisfaction Among Outpatients Receiving Fraction Dilatation and Curettage

本專案目的在改善門診子宮內膜刮搔術護理指導，並建立護理指導規範，以提升病患對護理指導之滿意度。對象為南部某醫學中心接受子宮內膜刮搔術病患。由現況發現門診子宮內膜刮搔術護理指導缺乏完整，經自擬問卷調查分析接受子宮內膜刮搔術病患之護理指導需求與滿意度，結果顯示子宮內膜刮搔術病患對護理指導需求平均得分為3.27±0.38，表示護理指導需求介於需要與非常需要之間，滿意度平均得分為2.97±0.15，介於不滿意與尚可之間，滿意度為59.4%，經建立完整護理指導計劃〈設立固定專人服務、術前與術後電訪、設立子宮內膜刮搔衛教單張〉及建立完整護理指導標準，護理人員在護理指導確實有依據且護理指導滿意度由59.4%提升至90.2%。顯示專案之實施可提升病患對護理指導之滿意度並使病患能獲得個別、整體及連續性的照顧。

The purpose of the project was to establish guidelines for nursing instruction and to improve satisfaction with nursing instruction among outpatients receiving fraction dilatation and curettage surgery at a medical center in Southern Taiwan. A structured questionnaire was used to measure the need for nursing instruction and the patient’s satisfaction with nursing instruction. The results showed the average need for nursing instruction score was 3.27 (SD=.38), and the satisfaction with nursing instruction score was 2.97 (SD=.15). This places the need for nursing instruction between “need” and “strong need”, and the satisfaction with nursing instruction between “unsatisfactory” and “acceptable”. The proportion of persons who were satisfied was 59.4%. A literature survey and clinical experience were used to develop a complete nursing intervention protocol. For instance, this protocol suggests that a professional nurse in a permanent position be used to counsel outpatients and to contact patients by phone before and after the operation. Furthermore, there was a need to design a nursing instruction sheet for fraction dilatation and curettage patients. After applying the nursing instruction sheet and the various rules that the nurses needed to follow, the proportion of patients satisfi ed with the nursing instruction increased from 59.4% to 90.2%. Based on this, the protocol not only improved the satisfaction of patients with the nursing instruction, but also ensured that the patients received a continuous complete regime of nursing care. (Tzu Chi Nursing Journal, 2007; 6:6, 103-116.)