提升護理人員執行兒童心臟手術前護理指導之完整率

Improving Comprehensiveness of Information Given to Pediatric Cardiac Surgery Patients Prior to Surgery

背景：病童接受心臟手術治療時，需裝置許多醫療儀器設備，常會使父母親面臨龐大的壓力。然病童父母親的壓力來源主要是對於病童術後情況的知識不足，若於進行心臟手術之前，由護理人員給予病童狀況及儀器使用的術前衛教，或可減少父母親的壓力與焦慮，故引發本專案改善動機。目的提升護理人員執行兒童心臟手術前護理指導之完整率，使父母於病童接受手術前充份了解相關訊息。解決方案擬定護理指導作業標準流程並進行稽核、錄製影片及製作單張協助衛教進行、針對護理人員舉辦教育訓練並規範將護理指導列入交班的改善措施。結果護理人員執行兒童心臟手術前護理指導的完整率由78%提升至98%；病童父母瞭解護理指導知識由52%提升至96%。結論本專案的介入措施有效改善兒童心臟手術前護理指導的完整率，使得臨床護理更加落實且有效率，值得兒科相關單位推廣。

Background: Cardiac surgery for critical pediatric patients places significant demands on hospital equipment and facilities. Parents of these patients are often under enormous stress due to insufficient knowledge regarding cardiac surgery and postoperative care procedures. This project used appropriate preoperative consultation given by nursing staffs to decrease stress and anxiety in parents of pediatric cardiac surgery patients.Purpose: This project worked to enhance the completion rate of preoperative instructions for pediatric cardiac surgery patients and ensure their parents received comprehensive information and knowledge.Resolution: The authors developed a standardized procedure for patient instruction and evaluation. Participants received instructions in the forms of a video presentation and printed handouts. Also, an educational training program was held and the implementation of preoperative patient instructions was made a routine task during nursing handover to enhance the completion rate.Results: The completion rate of patient preoperative instructions to pediatric cardiac surgery rose from 78% to 98%; The cognitive degree of participating parents rose from 52% to 96%.Conclusions: This intervention effectively increased the completion rate of preoperative instructions for pediatric patients scheduled for cardiac surgery and improved clinical pediatric nursing care practicability and efficiency.