提升嗜中性白血球低下症病人執行預防感染措施之正確率

Improving Accuracy when in Neutropenia Patients Carry Out Selfprotection Against Infection

本專案旨在提升嗜中性白血球低下症病人預防感染措施之正確率。經現況調查發現病人執行自我預防感染措施正確率低，僅68.9﹪，主要原因有四：病人對預防感染的知識得分率偏低，僅68.8﹪、欠缺預防感染措施的評值工具及預防感染措施衛教單張、護理人員教導預防感染措施不一致。藉由舉辦預防感染措施團體/個別衛教、制定護理人員指導病人預防感染措施作業流程及設計「白血球低下症病友預防感染生活護照」等措施後，病人執行自我預防感染措施正確率提升至91﹪，病人對預防感染認知得分率提升至94.6﹪，均達專案目的。顯示提升病人對預防感染的認知及正確措施確實可以改善病人自我照護能力，確保護理品質。

The purpose of this project was to enhance the accuracy rate of neutropenia patients who were carrying out self-protection against infection. Before the approach was adopted, the accuracy rate for self-care among such patients was 68.9%, and the rate for patient’s recognition of infection was 68.8%. These figures indicate that both accuracy and knowledge, in terms of self-protection prevention against infection, required improvement. On further analysis, it was found that the main problems were a defective quality assessment tool, inconsistent information about nursing techniques and a lack of health education in the form of written information. Therefore, programs aimed at correcting the aforementioned shortcomings were initiated, including patient educational training, the development of a standard nursing procedure to prevent infection and the creation of a “Self-Care Daily Checklist” for neutropenia patients. After these changes were introduced, the accuracy rate for self-care increased from 68.9% to 91% and the rate of correct recognition by patients of infection was raised from 68.8% to 94.6%. These results show that the introduced changes allowed the goals of this project to be fulfilled.