精神病患之家屬衛教團體出席比率改善方案

A Project to Raise the Participation Rate in Education Groups by Psychiatric Patient Family Members

本案目的為提高精神病患的家屬衛生教團體出席比率。統計本病房2002年家屬衛教團體平均出席率僅有23.4%，發現家屬出席率不佳，經資料分析後發現主要問題依序為：（1）家屬未能事先得知衛教團體時間；（2）缺乏與家屬直接聯繫的標準工具；（3）病人與家屬互動不佳；（4）工作人員無法確認家屬知道團體時間；（5）家屬本身對衛教主題缺乏興趣。故成立專案小組，針對家屬未能出席衛教團體之理由，擬定三個解決方案：（1）製作家屬出席衛教團體年度計畫表；（2）製訂病人「生活護照」作為日間病房標準化工具；（3）團體結束後安排病人與家屬的互動時間。結果家屬衛教團體出席比率由23.4%增加至64.8%，顯示此專案措施的可行性和有效性，護理人員不再額外電話追蹤或是發通知單，除了間接節省成本與人力之外，病人與家屬之間的互動亦獲得改善，進而提升護理照護品質。

The objective of this project was to increase the rate of participation in relevant educational programs of immediate relatives of individuals currently undergoing psychiatric treatment. According to statistics, the average participation rate in such educational programs averages only 23.4%; a ratio considered unacceptably low. After analysis, major problems identified included: (1) relatives were not informed in advance of meeting schedules; (2) there was no standard manner by which hospitals communicated with relatives; (3) interaction between patients and their families was, in general, poor; (4) program staff were unable to ensure that relatives knew correct meeting times; and (5) relatives generally lacked interest in health education topics. A special project group was organized and charged to improve the rate of participation of psychiatric patient relatives in health education groups. Three proposals made by this group included: (1) create an annual patient relative attendance planning schedule; (2) implement a patient ”life passport” for use as a standardized tool in day hospital care; and (3) arrange time after education activities for patient-parent interaction. After measures were implemented, patient relative participation in education programs rose to 64.8% from 23.4%. Results demonstrate method feasibility and validity. As the proposed method does not require nurses to send out notifications or conduct follow-ups over the phone, it indirectly cuts down costs and manpower and improves patient-family relations, ultimately raising the quality of nursing care.