提升護理人員執行內視鏡檢查前衛教指導之完整性

Improving the Integrity of Nurse Performed Endoscopy Pre-examination Health Education for Endoscopy Examinations

內視鏡檢查屬於侵入性治療，與病人安全息息相關。現況護理人員執行衛教完整性僅62.8％，故本專案旨在提升護理人員執行內視鏡檢查前衛教指導之完整性，分析原因有人員不熟悉檢查流程、衛教工具單調、缺乏衛教指導的標準化流程。於4月16日至9月30日專案改善期間修訂消化道內視鏡檢查須知手冊、製作檢查須知光碟、制定檢查前衛教標準、修訂專科在職教育計畫、規劃護理人員參訪內視鏡治療中心計畫。專案實施後，發現人員執行內視鏡檢查前衛教指導之完整性由62.8％提升至98.0％，病人對內視鏡檢查前衛教指導滿意度調查由2.9分提高至4.3分，達到本專案目的，本專案確實有推廣之價值。

Endoscopy examination is an invasive therapy that can greatly affect a patient's outcome. It was determined that the current average nurse performed health education integrity is 62.8 %. Therefore, this project was to improve the integrity of nurse performed pre-examination health education instructions. Our investigation determined that the reasons for incomplete health education included unfamiliarity to the examination procedures, boring heath education tools, and lack of a standardized procedure for health education. The improvement project was implemented in 2016, from April 16 to September 30. These implementations included establishing endoscopy examination handbook and CD-ROM, revising employee education program, and organizing endoscopy treatment center tours for nurses. The implementation of the established program increased the integrity of endoscopy pre-examination health education from 62.8% to 98.0%. The patient satisfaction for endoscopy pre-examination health education increased from 2.9 to 4.3 (out of 5). The results of this study demonstrated the efficiencies of this program for achieving the established goals, and thus could be valued for its widespread promotion.