音樂介入對脊椎手術病人術前焦慮之影響

Effects of Music Intervention on Preoperative Anxiety in Patients Undergoing Spinal Surgery

手術安全為病人安全十大工作指標之一，唯手術全期護理師在執行手術前護理評估尤其重要，但如果面對新住民術前護理評估時，護理師自覺困難度高達9.07分，觸發專案小組的改善動機。在現況分析中發現以溝通障礙與外語能力不足為主要因素，經本專案小組矩陣分析後，設立改善策略如下：一、製作外語版術前護理評估單及正反面人形圖；二、舉辦外語版術前護理評估單使用在職教育；三、實行護理人員提升外語能力鼓勵方案。介入措施後，護理人員在執行新住民術前護理評估困難度由9.07分降至4.61分，讓執行護理評估更得心應手，對手術安全成效上更具正面意義，值得臨床實務推廣。

Surgical safety is among the top 10 indicators of patient safety. Nursing staffs members in the operating room were aware of the difficulty of performing preoperative nursing assessments for immigrant residents, and the score reached 9.07. Consequently, ad hoc committees attempted to determine the cause of this problem. By conducting surveys, they found that poor communication caused by a language barrier was the most critical concern. To reduce the difficulty of performing preoperative nursing assessments for immigrant residents, strategies were developed based on consulting research, practices, and expert opinions. The strategies were as follows: (1) creating foreign-language versions of the preoperative nursing assessment and constructing body figures by using cardboards; (2) conducting on-the-job training for completing the preoperative nursing assessment form in foreign languages; and (3) implementing a program to encourage nursing staff members to improve their language skills. After the strategic intervention, the difficulty of preoperative nursing assessment for immigrant residents decreased from 9.07 to 4.61. The nurses gained proficiency in implementing preoperative nursing assessments, and exhibited significant improvements in surgical safety when following the practice guidelines.