提升精神科日間照護病房病人到院率

Enhancing the Attendance Rate of Psychiatric Day Care Patients

背景：社區精神病人透過參與日間照護活動及職業復健，有助於生活作息規律、改善精神症狀干擾及維持病情穩定，對早日回歸社會具有實質幫助。若未規則到院，易致精神症狀惡化，嚴重者再發病須返急性病房治療，而增加醫療成本支出。統計本日間病房病人到院率為73%，為提升復健成效，而設計此專案以改善病患參與動機。目的：提升精神科日間照護病房病人到院率，恢復病人獨立自主及回歸社區目標。解決方案：製作復健工作過關卡、舉辦藥物衛教課程、制定獎勵制度、製作出席護照及交流園地手冊。結果：到院率由73%提升至89%，提升16%。結論：本專案實施除提升病人到院率、增加與家屬溝通交流管道，也發揮醫療團隊人員合作之精神，而使醫療品質更完善。建議日後可將病人到院率納入病房品管指標，持續監測以維持護理品質及照護水準。

Background & Problems: Attending rehabilitation programs at psychiatric daycare wards has been shown to stabilize psychiatric patients' daily routines, reduce patient symptoms, and help them regain social functions. Non-attendance increases risks of patient decompensation and return to the inpatient unit, which reduces quality of care and increases medical costs. The attendance rate for psychiatric daycare patients at our hospital was 73%. To maximize rehabilitation and treatment success, we developed a special project to raise patient program-attendance motivation. Purpose: This study aimed to enhance the attendance rate of our psychiatric day care patients to improve patient independence and their capacity to return to the community. Resolution: Methods used included rehabilitation game cards, holding medication educational workshops, utilizing reward systems, making attendance passports, and designing activity booklets. Results: The attendance rate of psychiatric day care patients rose from 73% to 89%, a 16% increase. Conclusions: This program not only increased the attendance rate of psychiatric day care patients but also improved communications between professional care staff and patient family members. In addition, this program strengthened daycare ward staff teamwork, which further enhanced treatment quality. We suggest considering rehabilitation program attendance as an important ward quality control criterion to assess and improve treatment and nursing care quality.