提升外科加護病房腎臟移植照護完整性之改善專案

A Project for Improving the Care Completion Rate of Caring Kidney Transplant Patients in a Surgical Intensive Care Unit

本專案目的提升外科加護病房腎臟移植病人照護完整率之改善專案，因本院腎臟移 植術後照顧規範不完整，目前只有移植術後手冊，經專案小組臨床觀察分析後發現原 因有:教育訓練不完整、缺乏腎臟移植術後護理標準作業規範、用藥注意事項認知不足 、傷口引流管照護認知不足、醫療處理認知不足、對衛材、儀器準備標準不一致、人 員照護實務經驗不足、缺乏稽核制度。經施行以下策略：舉辦腎臟移植術後照護在職 教育及情境模擬課程、製訂腎臟移植術後照護指引手冊、製訂腎臟移植病室用物查檢 表、製訂腎臟移植術後護理正確性監控表、規劃腎臟移植術後護理正確性監控人員， 實施後單位人員對腎臟移植病人照護完整率由75.1%提升至98.0%，已達到專案目的。（ 志為護理，2020; 19:5, 67-83 ）

This project aims to raise the overall care of kidney transplant patients in a surgical intensive care unit (ICU). Currently, we have related pamphlets and care system that needs improvement as the project team found the following defects: incomplete training, lack of operating standards regarding the postoperative nursing care for kidney transplant patients, lack of understanding of safe medication use, insufficient knowledge of wound care and medical treatments, inconsistent standards of sanitary materials and devices, and lack of experienced nurses. To improve the overall care of kidney transplant patients, strategies were implemented, including providing on-the-job training for healthcare professionals on postrenal transplant care and scenario-based lessons, following the kidney transplantation care guidelines, verifying a checklist of operating room devices used in kidney transplantation, performing correct postoperative care, and assigning a supervisor to oversee that proper care was given to the patients. As a result, the care completion rate of kidney transplant patients increased from 75.1% to 98%. (Tzu Chi Nursing Journal, 2020; 19:5, 67-83)