運用治療性遊戲提升學齡前期住院病童口服給藥遵從率

Using Therapeutic Play to Increase the Oral Administration Adherence Rate of Preschool Pediatric Inpatients

背景：口服給藥是兒科病童最常見的醫療處置。本單位病童需要口服藥物治療佔98%以上，2022年口服給藥遵從率為43.9%。分析原因：無相關口服給藥護理指導單張、未舉辦相關在職教育；無針對兒童的口服給藥衛教工具；缺乏具吸引力的餵藥輔具。
目的：提升學齡前期住院病童口服給藥遵從率。
解決方案：透過製作兒童口服給藥護理指導單張及QR code（quick response code）影片連結、製作治療性遊戲輔具、改變餵藥器外觀黏扣病童喜愛的卡通人物、製作《搶救森林大作戰》繪本及影片、獎勵貼紙等措施。
結果：病童口服給藥遵從率由43.9%提升為91.9%。
結論：本專案可以有效提升口服給藥遵從率，提高口服給藥品質，未來可供其他兒科單位參考。

Background & Problems: Oral administration is the most common mode of medical treatment for pediatric patients. Although over 98% of the patients in the targeted pediatric unit require oral medication, the oral administration adherence rate in 2022 was 43.9%. The reasons for this low rate were identified as: (1) no relevant oral administration educational materials, (2) no relevant continued nursing education provided, and (3) lack of assistive tools and feeding aids to help administer oral medication to young children.
Purpose: This project was developed to increase the adherence rate of oral administration of preschool pediatric inpatients in our hospital.
Resolutions: The improvement strategies included the design of patient-centered oral medication care guidance leaflets and QR code (quick response code) video links, the development of therapeutic play aids, adding cartoon characters to medicine feeders, and the creation of a“Rescue the Forest”picture book and video and reward stickers.
Results: The oral medication adherence rate increased from 43.9% pretest to 91.9% posttest.
Conclusion: This project and its positive effect on the rate of oral medication adherence may be referenced by other pediatric units.