運用多元教學策略提升病人全自動腹膜透析機警訊處理能力

Improving Patients' Ability of Automatic Peritoneal Dialysis Machine Warning Signals by Using Multiple Teaching Strategies

背景：使用全自動腹膜透析機之病人多於夜晚居家操作，當透析過程中發生機器警訊，病人會透過值班電話尋求諮詢服務。統計本中心2019年值班電話諮詢共506件，其中與全自動腹膜透析機警訊相關之諮詢量佔35%，位居諮詢量首位。

目的：（1）提升病人全自動腹膜透析機警訊處理能力（2）降低值班電話全自動腹膜透析機的諮詢總量。

解決方案：制訂標準訓練流程、常見問答集及警訊查閱手冊、設計情境練習互動軟體，並舉辦警訊處理課程及操作者認知再教育。

結果：病人全自動腹膜透析機警訊處理認知評量由69.9分提升至86.9分；且值班電話諮詢總量下降46.7%。

結論：實施多元教學策略後，確實能提升病人警訊處理能力；顯示本專案有具體成效。

 

Background: Patients underwent automated peritoneal dialysis (APD) mostly operate APD at night. When the APD machine’s alarm is noted during dialysis, the patients will call-in our duty nurses for help. In 2019, the number of on-call inquiries related to the alarm of APD machine was the most in our PD center. )

Purpose: (1) To improve patients’ ability to handle trouble shooting during APD. (2) To reduce the total number of on-call telephone inquiries related to the alarm of APD machines. )

Methods: Develop a standard training program, an alarm Q&A and alarm review handbook, design interactive software for contextual practice, and conduct alarm handling courses and operator awareness re-education. )

Results: The patient’s cognitive rating of APD increased from 69.9 to 86.9, and the total number of on-call telephone inquiries decreased by 46.7%. )

Conclusion: The implementation of the multi-teaching strategy improved the patient’s ability to handle alerts and the project had concrete results.