提升腦中風病人首次下床之改善專案

Plan for Improving the Initial Ambulation of Acute Stroke Patients

背景：急性腦中風的病人，應該在住院後24–48小時內接受早期復健評估；而早期下床可減少併發症發生和增加日常生活活動功能，降低殘障發生的機會。目的：提升腦中風病人首次下床的意願、盡早接受復健治療，以降低中風對身體功能造成之傷害。解決方案：藉由制定及實施腦中風病人首次下床之標準作業流程，並使用圖文並茂之衛教指引手冊及護理人員實際協助病人下床等方案。結果：腦中風病人首次下床率由32.0%提升至85.4%。結論：首次下床可以減少腦中風病人發生急性併發症的危險和增加病人日常生活活動功能，降低殘障發生的機會，對於病人預後極具重要性。

Background & Problems: Acute stroke patients should receive a rehabilitation assessment within 24–48 hours of hospitalization. Initial ambulation is known to reduce the occurrence of complications, improve the ability to perform activities of daily living, and reduce the risk of long-term disability. Purposes: To raise the initial ambulation willingness of acute stroke patients and to increase the willingness of these patients to receive rehabilitation treatment as soon as possible in order to reduce the long-term physical damage of the stroke incident. Resolutions: To develop and implement standard operating procedures for the initiation of ambulation (first time leaving the hospital bed) in acute stroke patients, to use health education brochures with texts and illustrations, and to have nurses physically assist patients to initiate ambulation. Results: The rate of ambulation initiation in acute stroke patients rose from 32.0% pre-intervention to 85.4% postintervention. Conclusion: Acute stroke patients who initiate ambulation soon after experiencing a stroke may reduce their risk of acute complications, increase their ability to perform activities of daily living, and reduce the risk of long-term disability. Thus, encouraging early ambulation is extremely important to improving the prognosis of this patient population.