運用多元策略提升照顧者執行高齡衰弱病人照護完整率

Use of Multiple Strategies to Improve the Integrity of caregivers' care for Frail Elderly Patients

衰弱是老年族群退化前兆，引起認知及身體功能下降，易導致失能或臥癱。統計單位高齡衰弱病人高達77%，且照顧者執行衰弱照護完整率僅53.9%，引發改善動機。本專案旨在提升照顧者執行高齡衰弱病人照護完整率，經現況分析發現：照顧者衰弱照護技巧及認知不足、護理人員衰弱衛教不完整、無高齡衰弱照護常規及在職教育、未設置衛教單張及病房活動區域不足。藉由舉辦在職教育訓練、高齡衰弱照護標準化、舉辦團衛課程、製作衰弱照護影片、衛教單張、海報及建置多感官環境，使照顧者執行照護完整率由53.9%提升至85.9%，達專案目的。

Frailty is a precursor to degeneration in elderly individuals, leading to cognitive and physical decline and potentially resulting in disability or paralysis. In our ward, the hospitalization rate for frail elderly patients was 77%, while the integrity of caregivers’care was only 53.9%. This highlighted the need for improvement and served as the motivation for this project. The objective was to enhance the integrity of caregivers’care for frail elderly patients. Several issues were identified in the management of care: caregivers lacked skills and knowledge about frailty care, health education provided by nursing staff was incomplete, there was no routine education or training on frailty care, instructional leaflets were unavailable, and ward activity areas were insufficient. To address these challenges, multiple strategies were implemented, including: providing continuous educational and training programs for caregivers; developing standardized protocols for frailty care; conducting group education sessions; creating health education videos, leaflets, and posters; and establishing a multi-sensory environment within the ward. Following the implementation of these strategies, the integrity of caregivers’care for frail elderly patients improved significantly, increasing from 53.9% to 85.9%.