提升護理人員對開放性傷口床照護之正確率

Promotion of the Utilization Rate of Open Wound Care Beds

本文旨在提升外科病房護理人員（專科護理師及護理師）對開放性傷口床照護之正確率。現況發現病人開放性傷口床照護相關之抱怨及醫療傷害事件增加，造成多數護理人員是開放性傷口床照護為畏途，分析原因為：無開放性傷口床照護標準、專科護理師及護理師對開放性傷口床照護認知不足、換藥方式不一致、欠缺傷口床評估工具與敷料、欠缺稽核機制等。經制定照護標準、設計傷口評估暨教班表及增購敷料、安排教育訓練、建立稽核機制方案後，專科護理師及護理師對開放性傷口床照護認知正確率由50.6％升至83.2％，執行換藥正確率由70.3％升至90.7％。改善成效卓越，不僅提升開放性傷口床照護品質，更減少病患對換藥的抱怨，亦增進醫護團對和諧，整體提昇傷口照護品質。

The purpose of this article is to promote the utilization rate of open wound care beds in surgical wards. Because of open wound care bed- associated complaints and increasing events of medical harms, most of nurses were reluctant to take care of the patients in open wound care bed. The analyzed causes included lack of care standards for open wound care bed, lack of knowledge about open wound care bed, inconsistent wound dressing change, lack of wound care bed assessment tool and insufficient dressing, and lack of a monitoring mechanism. With established care standards, designed wound assessment during shift change, sufficient dressing supplies, arranged educational training, and developed monitoring program, the nurses’ knowledge increased from 50.6％ to 83.2％ in utilization of open wound care bed and from 70.3％ t 90.7％ in accuracy of dressing change. The improvement results facilitated the quality of an open wound care bed, decreased patients’ complaints of dressing changes, and promoted the care team’s harmony and entire quality of wound care.