提升肺癌病人接受胸腔鏡手術後照護滿意度

Improving Satisfaction with Post-thoracoscopic Care for Lung Cancer Patients

胸腔鏡術後以肺擴張不全為最常見的合併症，透過完善的術後照護，可增進病人、家屬對於醫療團隊的信心及滿意度。本單位為胸腔內、外科病房，使用結構式問卷調查表，發現肺癌病人術後照護滿意度平均僅2.89 分，成立專案小組提出改善方案，分析原因有：衛教單張文字多圖片少且完整性不足、缺少適合的硬體設備、不同家屬輪流照護、護理指導內容不一致。針對上述問題擬定改善對策及實施包含：製作圖文衛教手冊（ 內包含家屬提醒表）、製作胸瓶放置盒、舉辦團體衛教、設計胸腔鏡手術後照護指導稽核表，經改善方案實施後，術後照護滿意度提升至4.69 分，藉由此專案推動，使胸腔鏡術後病人獲得更專業及更完善護理照護品質。

"The most common complication after thoracoscopy is pulmonary insufficiency; however, through comprehensive postoperative care, the confidence and satisfaction of patients and their families in the medical team can be enhanced. Using structured questionnaires to assess postoperative care satisfaction of lung cancer patients in the internal medicine and surgery wards of the Department of Chest Medicine, the mean score was only 2.89. Therefore, a task force was set up to propose an improvement plan. The reasons for the low score were found to be: too much text and too few pictures and incomplete information in the health education leaflet, lack of hardware facilities, different family members taking turns to take care of the patient, and inconsistent care instructions. Improvement measures to address the above issues and their implementation included: production of a pictorial health instruction manual (including a family awareness sheet), providing chest bottle holders, organization of group health instruction, and design of a post-thoracoscopic care handover checklist. After the implementation of the improvement plan, the postoperative care satisfaction score improved to 4.69. The project will help patients receive more professional and better quality of care after thoracoscopic surgery."