提升帕金森氏症住院病人之身體活動執行率

Increasing Implementation Rate of Physical Activities in Hospitalized Patients with Parkinson's Disease

帕金森氏症病人因疾病造成動作障礙，導致身體活動力下降及退化，除了嚴重影響健康及照護負擔，死亡人數亦逐年攀升，故如何延長退化時間及改善生活品質成為照護上的重要課題。專案主旨為提升帕金森氏症住院病人身體活動執行率，經現況調查發現帕金森氏症住院病人身體活動執行率28.6%，其問題為：護理人員未能主動評估及介入處理、缺乏帕金森氏症住院病人於臥床期間可執行的身體活動指引、缺乏合適的運動器材和活動的空間不足；經舉辦在職教育課程、設計多元性運動項目、製作及採購輔助運動器材、設計運動衛教海報及影片後等方案，推行並持續監測後，身體活動執行率由28.6%提升至85.4%。此專案運用多元策略設計病房內可執行的運動，大大的能提升帕金森氏症住院病人執行身體活動、減少併發症，以提高病人生活品質及醫療照護品質。

The movement disorders associated with Parkinson’s disease lead to a significant decline in physical activity, which adversely affects patient health, increases the burden on caregivers, and contributes to rising mortality rates. Consequently, delaying physical degeneration and enhancing quality of life have become critical priorities in clinical care. This study aimed to improve the implementation rate of physical activity among hospitalized patients with Parkinson's disease. A baseline investigation revealed an implementation rate of only 28.6%, identifying key barriers such as a lack of proactive nursing interventions, a deficit in specialized exercise guidelines for bedridden patients, and insufficient equipment and space. To address these issues, the study implemented several strategies, including on-the-job nursing education, the development of diverse exercise programs, the procurement of auxiliary equipment, and the creation of multimedia health education materials. Following these interventions, the implementation rate of physical activity increased from 28.6% to 85.4%. These results demonstrate that multi-faceted, executable ward-based exercises can significantly enhance physical activity levels, reduce complications, and improve both the quality of life and the standard of medical care for patients with Parkinson’s disease.