降低「住院病人整體照護試辦計畫」單位陪病率之成效評估

Effectiveness the Project of Decreasing Percentage of Accompanying Inpatients in Sections Responsible for 'Inpatients' Trial Plan of Total Care'

本專案旨在降低「住院病人整體照護試辦計畫」單位之陪病率。係因 2003 年臺灣醫療體系受到SARS 疫情嚴重的街擊，有看護工「趴趴走」，造成 院內感染，讓我們重新省思長期存在的陪病文化是否有其必要性？經由住院 病人陪病狀況調查表，發現陪病率一直居高不下，分析造成陪病率高的原因 為：陪病制度宣導不足、未落實陪病管理、宣傳海報張貼不明顯及未修訂環 境介紹範本。針對上述原因執行改善方案：落實宣導陪病制度、落實陪病管 理、張貼宣導海報於明顯處及增修環境介紹範本。經由改進方案實施後，住 院病人陪病率由改善前65.5% 降低至改善後30% '確實達到本專案的改善目 的。

This project aims to decrease percentage of accompanying inpatients in sections which take charge of “Inpatients’ Trial Plan of Total Care”. In 2003, an epidemic of SARS impacted Taiwanese medical system seriously, and some workers who look after inpatients’ walked around' and caused infection in the hospital, which made us reflect again whether the culture of accompanying inpatients, existed for a long time, should be necessary or not. The reflection aroused the motivation of this project. From investigation into inpatients’ cases, the percentage of accompanying inpatients was discovered to remain highly. The reasons for high percentage of accompanying inpatients are as follows, insufficient conveyance of the system of accompanying inpatients, incomplete management of accompanying inpatients, inconspicuous places for propaganda posters and the lack of revising demonstrated copies of environmental introduction. According to these reasons, four improvements were put into practice, including conveying the system of accompanying inpatients adequately, executing management of accompanying inpatients completely, posting propaganda posters in conspicuous places and revising demonstrated copies of environment introduction. Finally, percentage of accompanying inpatients in the hospital has been decreased from 65.5% (before improvements) to 30% (after improvements), which surely achieved the goal of this project.