氣切患者出院準備服務計畫之執行

The Implementation of Discharge Planning for Patients with Tracheotomy

本院配合衛生署推動病患出院準備服務計畫，實際執行於氣切患者，目的在使病患於急性期治療後能順利出院或轉介至其他長期醫療處所，以得到較滿意照護。護理人員運用出院準備服務計畫執行結果協助四十六位氣切患者順利出院，有21.7%於出院後返家，其餘則有計畫的安排轉入榮民之家、安養或醫療機構。影響病患出院去處選擇的主要因素為家庭支持程度，家屬最為需要的出院準備服務是“照護病患技巧之教導”，最滿意的服務項目是“出院後電話及諮詢服務”，出院四週後，病患之活動能力及病情以能保持原狀或進步為多佔80%。

This research is sponsored by the Department of Health to promote the implementation of discharge planning for the hospitalized patients with tracheotomy. The purpose of this planning is to ensure that the patients can be discharged from the hospital or transferred to a long term care institution after their serious symptoms are relieved, and obtain a good care thereafter. 46 patients in this experimental study were discharged successfully from the hospital after implementing the discharge planning by the nursing staff. Among them, 21.7% patients returned home, and the others were transferred to the Veterans' home, the nursing home, or local hospitals. The results show that the family support has the most significant effect on the patient's choice of resident place after being discharged from the hospital. The most satisfactory service is the consulting service by the telephone, and the most demanding service for patients' families is to teach them the care technique. Four weeks after being discharged from the hospital, 80% patients could keep the same or have improving activity capability and physical situation.