慢性阻塞性肺疾病患者肺部復健手冊之設計

The Design of a Pulmonary Rehabilitation Manual for COPD Patients

本衛教手冊之製作，是參閱相關文獻及製作群過去參與肺部復健實務經驗及諮詢專家之意見而完成。製作群除了筆者之外，是由三位資深的肺部復健之衛教師共同參與，專家諮詢則是來自多方面的健康小組，成員包括胸腔科主治醫師、呼吸照護學系講師、護理系副教授及物理治療師心胸組組長等。經由專家意見最後修正完成後，再由一位資深的臨床護理專家多次校稿完成。許多病人需要與疾病有關的資料是來自於醫生，因為病人不瞭解護理人員在健康指導之角色，因為病人不瞭解護理人員在健康指導之角色；因此如何加強護理人員在健康指導中之角色是刻不容緩的一件事。教與學在臨床中的很常見的事，我們每天都在教病人，但是應該教什麼，如何教，效果如何，是值得深思的；隨著資料科技神速進步，知識爆炸的來臨，護理人員更應懂得如何找尋及運用實證資料指導病人，以促進病人之健康行為。

This Pulmonary Rehabilitation Manual was written for COPD patients by the author and a group of fully experienced nurses specializing in pulmonary rehabilitation. In addition to clinical experience, the author relied on relevant literature reviews and expert consultation. A number of health team members were consulted, including doctors in a chest department, a lecturer in respiratory care, an associate professor in a nursing department, and a physical therapy leader. After final reviews by the medical professionals, the manual was proofread by a senior clinical nursing specialist. In Taiwan, most patients wanting to ask for health-or disease- related information tend to go to the doctors. They are totally ignorant of the role nurses play in health teaching. Actually, in clinical settings, it is rather common to see teaching and learning going on between patients and nurses. On the one hand, it is important to popularize nurses' health teaching role; on the other hand, what to teach, how to teach and what outcomes to expect are matters to which we have to give thorough consideration. In a society in which the amount of information is increasing rapidly, nurses have to understand how to find information and how to apply information to enhance health behaviors of patients.