運用治療性遊戲專案提升病童執行噴霧治療完整率

Project of Using Therapeutic Play to Improve the Completion of Aerosol Therapy in Sick Children

藥物噴霧治療是兒科照護常見的治療，能改善呼吸道感染症狀。然而此治療在兒科單位卻常無法確切執行在各年齡層兒童。本單位2016年執行噴霧治療完整率為33.3％，經現況調查發現不完整原因為：護理人員對噴霧治療認知不完全正確、無噴霧治療相關衛教單張、缺乏治療性遊戲輔具、治療時間太久、照顧者經常更換及語言上的隔閡。專案目標為護理人員對噴霧治療認知正確率提升至100％，病童噴霧治療完整率提升至90％以上；改善方案包括舉辦在職教育、制定護理指導單張及海報、錄製多種語言衛教影片並以QR code連結、製作治療性遊戲輔具。方案實施後護理人員噴霧治療認知正確率由63.8％提升至100％，病童噴霧治療完整率大幅度由33.3％提升至92.8％。本專案執行過程及改善方案可提供其他兒科單位參考，以提高噴霧治療完整率。

Aerosol therapy, a common treatment of pediatric care, can relieve symptoms of respiratory tract infections. However, such treatment has not been effectively given to children of all the ages. The completion rate of aerosol therapy in the study setting (pediatric unit) was only 33.3% in 2016. The situation analysis showed that poor result was due to the nursing staff's incomplete knowledge of aerosol therapy; the study unit lacked aerosol therapy leaflets and related therapeutic play tools. Furthermore, other reasons included the long duration of such treatment, changing family caregivers, and language barriers between nursing staff and caregivers. The project strategies include deploying continued nursing education, designing care guide leaflets and posters, developing QR code link to the multi-languages health education videos, and creating therapeutic playing aids. After the implementation the above strategies, the nursing staff's recognition of aerosol therapy increased from 63.8% to 100% as expected. Additionally, the completion rate of aerosol therapy dramatically increased from 33.3% to 92.8%. The project improved the completion rate of aerosol therapy thus can provide references for other pediatric units.