運用跨職類合作與視覺提示提升胸腔復健運動一致性之品質改善專案

Improving Consistency in Chest Rehabilitation Exercises through Interprofessional Collaboration and Visual Cues

背景：復健運動對呼吸器使用病人有助於訓練呼吸肌、促進脫離呼吸器並降低併發症。然而，2022-2023年本單位胸腔復健運動跨職類執行一致性僅2.6%，主因包括流程未標準化、團隊溝通不足及護理人員認知不足，影響臨床照護品質與病人恢復進度。
目的：提升亞急性呼吸照護中心胸腔復健運動執行一致性與照護品質。
解決方案：專案小組召開跨職類共識會議，建立標準流程並修訂常規手冊，針對護理人員進行教育訓練，設計胸腔復健運動強度標示板作為視覺提示與溝通平台，並納入日常交班流程。
結果：專案推行後，胸腔復健運動一致性由2.6%提升至100%，執行率由78.6%升至82.4%，呼吸器脫離率由61.6%升至64.3%，顯示標準化流程與視覺化提示能有效提升執行一致性與照護成效。
結論：跨職類合作與標準化流程可提升胸腔復健運動一致性與照護品質，建議持續推廣並納入新進人員訓練教材，優化標示板介面並加強家屬衛教，以提升長期療效。

Background & Problems: Chest rehabilitation exercises benefit ventilated patients by strengthening respiratory muscles, facilitating ventilator weaning, and reducing complications. From 2022 to 2023, the consistency of chest rehabilitation exercises performed through inter professional collaboration in our unit was only 2.6%, primarily due to non - standardized procedures, limited team communication, and insufficient staff awareness, thereby affecting care quality and patient recovery progress.
Purpose: To enhance the consistency of chest rehabilitation exercises and improve care quality in a subacute respiratory care center.
Resolution: The project team conducted interprofessional consensus meetings to establish standardized procedures and revise routine manuals. Education sessions were implemented for staff, and a visual cue board for chest rehabilitation exercises was developed as a communication platform integrated into daily handover routines.
Result: Following project implementation, the consistency of chest rehabilitation exercises increased from 2.6% to 100%, the implementation rate improved from 78.6% to 82.4%, and the ventilator weaning rate rose from 61.6% to 64.3%. These results indicate that standardized procedures and visual cues effectively enhanced procedural consistency and care outcomes.
Conclusion: Interprofessional collaboration supported by standardized procedures and visual cues effectively improved the consistency and quality of chest rehabilitation exercises. Continued implementation, integration into new staff training materials, optimization of electronic visual interfaces, and strengthened family education are recommended to sustain long-term outcomes.