運用醫療團隊資源管理提升糖尿病人衛教指導正確率

Using Medical Team Resource Management to Improve the Accuracy of Health Education Guidance for Diabetic Patients

衛教指導不確實，導致病人傷害事件。良好衛教指導可預防合併症產生。本專案運用團隊資源管理提升糖尿病人衛教指導正確率。經現況分析，衛教指導正確率僅達58.2%，分析原因：(1)對團隊資源管理模式不了解、(2)缺乏糖尿病衛教指導教育訓練、(3)未建立糖尿病衛教指導標準流程、(4)缺乏糖尿病輔助教學工具、(5)未建立糖尿病衛教指導監測制度。經介入措施(1)舉辦團隊資源管理及糖尿病課程、(2)制定衛教指導標準作業書、(3)衛教單張及海報、(4)衛教指導手冊、(5)增購書籍及教材、(6)製作足部護理及運動指導影片、(7)轉介衛教師、(8)訂定監測機制。糖尿病人衛教指導正確率由58.2% 提升至98%，提供正確衛教指導，促使病人落實健康管理，以提升日後自我照護成效。

Incorrect health care guidance led to patientinjury. Good health education can preventcomorbidities. This project uses team resourcemanagement to improve the accuracy ofhealth education guidance for people withdiabetes. According to the current situationanalysis, the correct rate of health educationguidance is only 58.2%. The reasons are: (1)not knowing the team resource managementmode, (2) lack of diabetes health educationguidance training, (3) no standard process ofdiabetes health education guidance. (4) Lackof auxiliary teaching tools for diabetes, (5)Failure to establish a diabetes health educationguid-ance monitoring system. Throughintervention measures (1) organize teamresource management and diabetes courses,(2) formulate health education instructionstandard workbooks, (3) health educationleaflets and posters, (4) health educationinstruction manuals, (5) purchase additionalbooks and Teaching materials, (6) makingfoot care and exercise instruction videos, (7)referral to health teachers, and (8) establishingmonitoring mechanisms. The correct rate ofhealth education guidance for diabetic patientswas increased from 58.2% to 98%, providingcorrect health education guidance to urgepatients to implement health management toimprove the effectiveness of self-care in thefuture.