運用跨團隊合作提升慢性腎臟病病人照護認知正確率

Enhancing Chronic Kidney Disease Care Knowledge Through Interdisciplinary Teamwork

慢性腎臟病病人常因合併多重共病須住院治療，於飲食與疾病照護上若無正確認知，僅執行透析治療也無法避免合併症發生，嚴重時將危及生命。現況調查單位慢性腎臟病病人照護認知正確率67%，對於紙本或口頭指導提升照護知識滿意度為57%。經調查發現病人：未接受完整的疾病照護指導、缺乏多元化指導工具、護理人員在職教育課程舉辦次數及內容不足。專案目的欲提升慢性腎臟病病人的照護認知正確率。執行對策：跨團隊合作提供完整疾病照護指導、應用多元化指導工具、舉辦相關教育課程等。執行後，慢性腎臟病病人照護認知正確率提升至95%，病人對於衛教提升照護知識滿意度提升至92%，出院後追蹤自我照護執行正確率提升為91%。經實施有效對策測能提升慢性腎臟病病人之照護認知，提升自我照護之能力。

Patients with chronic kidney disease often require hospitalization due to multiple comorbidities. Without adequate knowledge of dietary and disease care, dialysis alone cannot prevent potentially life-threatening complications. A recent survey reported a 67% accuracy rate in patient-care knowledge and a 57% satisfaction rate with traditional leaflets or orally delivered guidance. The survey findings revealed a lack of comprehensive education, limited use of varied instructional tools, and insufficient frequency and content in in-service training for nursing staff. This project aimed to improve the accuracy of chronic kidney disease care knowledge through interdisciplinary teamwork by employing diverse guidance tools and organizing relevant educational courses. After implementation, knowledge accuracy rate increased to 95%, satisfaction rate of educational interventions increased to 92%, and the accuracy rate of self-care tracking post-discharge increased to 91%. These results indicate that interdisciplinary strategies effectively enhance the care knowledge and self-care capabilities of patients with chronic kidney disease.