提升護理之家住民日常生活活動進步率

Promote the Progress Rate of Activities of Daily Living of Residents in a Nursing Home Resi

隨著人口老化及家庭結構改變導致護理之家的照護需求增加，而如何改善護理之家住民日常生活活動獨立性是很重要的議題。本單位住民2020年1-4月日常生活活動進步率平均為1.87%，較閾值2.79%低，故成立專案小組從人、制度及工具面著手，透過跨團隊合作以提升住民日常生活活動進步率。本專案經收集分析現況問題後介入多元策略之改善方案包含：修訂日常生活活動功能訓練計畫、規劃日常生活活動功能訓練器材項目種類及採購、制定日常生活活動訓練操作指引及拍攝輔助教學短片、制定訓練紀錄表、規劃舉辦住民日常生活活動功能宣導及建置監控計畫等，改善後住民ADL進步率由1.87%提升至3.80%，透過專案對策落實實施，改善了工作人員執行內容完整性，增加住民對日常生活活動的意願，進而提升住民日常生活活動的進步。

With the aging of the population and changes in family structure, the need for nursing home care continues to increase. Enhancing the independence of activities of daily living (ADL) among nursing home residents has therefore become an important issue. From January to April 2020, the average ADL improvement rate among residents in this unit was 1.87%, which fell below the target threshold of 2.79%. To address this gap, a project team was established to improve residents’ADL performance through multidisciplinary collaboration, focusing on personnel, systems, and tools. After identifying and analyzing the root causes of the problem, the project team implemented a series of improvement strategies, including revising the ADL functional training program; planning and procuring appropriate ADL training equipment; developing operational guidelines and short instructional videos for ADL training; creating standardized training record forms; organizing ADL promotional activities for residents; and establishing a monitoring plan.
Following these improvements, the residents’ADL improvement rate increased from 1.87% to 3.80%. The implementation of these countermeasures enhanced staff compliance with training procedures, increased residents’willingness to participate in ADL activities, and ultimately led to improved ADL outcomes.