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篇名
中風病人足部健康照護之改善專案
並列篇名
Improving Foot Health Care in Stroke Patients
作者 林淑瓊曾素美 (Su-Mei Tseng)鄭秋燕王玉真 (Yu-Jen Wang)
中文摘要
中風後因血管運動調節系統失常造成病態肢體慢性缺血及冰冷,且在制動下氣血運行衰退導致水腫。本專案旨在提升中風病人足部健康照護品質,透過問卷、查檢表、實地觀察及訪談收集資料及分析現況。結果發現護理人員對足部健康照護認知不足、足部健康照護執行完整率低,以及主要照顧者對足部健康照護滿意度低。經本專案制訂足部健康照護標準作業規範、書面參考資料、足部健康照護評估表、衛教單張、品質監控作業及舉辦在職教育,護理人員足部健康照護認知正確率提升至100%、足部健康照護執行完整率提升至95.4%、主要照顧者對足部健康照護滿意度之改善成效提升至4.9 分。期此專案經驗可作為提升中風病人照護品質之參考。
英文摘要
After stroke, chronic ischemia and actual coldness in diseased limbs is caused by dysfunction ofvasomotor regulation system. Insufficiency of qi (life energy) and blood in conditions of limitedmobility results in edema. This study aimed to investigate nurses’ and caretakers’ levels of knowledgeand satisfaction in providing foot health care and to evaluate a program designed to improve the qualityof foot health care in stroke patients. We collected and analyzed data using questionnaires, checklist,observations, and interviews. The baseline findings before introducing the program to improve foot careshowed that nurses had both knowledge deficits and low completion rates in foot health care, and primarycaregivers had a low satisfaction level in providing foot health care. We developed a standard careprogram for foot health care, including foot health care reference materials, a checklist for performingfoot health care, foot health care pamphlets, and quality monitoring of foot health care. We also conductedin-service education for nurses. Study results revealed that nurses’ knowledge of foot health care increasedto 100% compared to baseline knowledge and their completion rate of foot health care increased to95.4% after they received in-service education and were instructed in the standard care program for foothealth care. Primary caregivers’ satisfaction level for foot health care increased by 4.9 points comparedto baseline. Results of this study may serve as a reference for enhancing the quality of nursing care forstroke patients.
起訖頁 60-73
關鍵詞 中風足部健康照護足浴穴位按壓strokefoot health carefootbathacupressure
刊名 長庚護理  
期數 201803 (29:1期)
出版單位 財團法人長庚紀念醫院
該期刊-上一篇 某醫學中心內科病房環境安寧改善專案
該期刊-下一篇 降低接受預防接種及餵食輪狀疫苗嬰兒疼痛反應改善專案
 

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