運用多元策略提升急性腦中風病人早期復健運動之執行率

林瑞青; 林佳慧; 翁淑敏; 林琦峯; 王蔚芸; 曾雯琦

doi:10.6224/JN.202102_68(1).09

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P64 - 73

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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运用多元策略提升急性脑中风病人早期复健运动之执行率

Applying Multiple Strategies to Increase the Rate of Early Rehabilitation Exercise Adoption in Patients With Acute Stroke

林瑞青(Ruei-Ching LIN) ；林佳慧(Chia-Huei LIN) ；翁淑敏(Shu-Min WENG) ；林琦峯(Chi-Feng LIN) ；王蔚芸(Wei-Yun WANG) ；曾雯琦(Wen-Chii TZENG)

护理杂志； 68 卷 1 期 (2021 / 02 / 01) ， P64 - 73

繁体中文 DOI： 10.6224/JN.202102_68(1).09

早期复健运动；功能状态；肌力；脑中风；虚拟实境训练； early rehabilitation ； functional status ； muscle strength ； stroke ； virtual reality training

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摘要 │ 参考文献 (17) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

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Background & Problems: Early rehabilitation exercise has been shown to reduce the onset of disability in patients following acute stroke. However, the clinical execution rate of early rehabilitation exercise for those patients remains low. Our medical team developed an early rehabilitation care plan for patients with acute stroke in 2013, at which time the execution rate of early rehabilitation exercise for these patients in our hospital was only 37.1%. The survey found that patients and caregivers had insufficient awareness of early rehabilitation exercise; hospital staffs lacked appropriate assistive devices, rehabilitation equipment, nursing guidance tools, and handover records; and new nursing staffs were insufficiently aware of the importance of early rehabilitation exercise. This care plan was developed to improve the execution rate of early rehabilitation exercise in patients with acute stroke to slow the progression of their disability. Purpose: The project was designed to improve the knowledge of new nursing staffs regarding early rehabilitation care and the early rehabilitation exercise completion rate of nursing staffs to raise the execution rate of early rehabilitation exercise in patients with acute stroke. Resolution: After completing the cause analysis, multiple strategies were pursued: (1) nursing education sheets with texts, illustrations, video, and posters were used; (2) group in-service educational training was organized; (3) an innovative transfer belt was designed; (4) facilities were set up to deliver virtual-reality (VR) training; (5) standard procedures on early rehabilitation exercise in patients with acute stroke were revised and implemented; (6) nursing handover procedures were revised; and (7) education courses on early rehabilitation exercise for post-stroke patients were developed. Results: The accuracy of knowledge related to early rehabilitation exercise among new nursing staff improved from 31.3% to 80%; the completion rate for nursing education increased from 53.6% to 98%; and the early rehabilitation exercise execution rate increased from 37.1% to 82.8%. Conclusions: This project successfully increased the motivation and confidence of patients in rehabilitation and the rate of exercise program execution, which may be expected to impact positively on patients' quality of life.

参考文献 ( 17 ) 〈TOP〉

陈宛伶, W.-L.,赖禹璇, Y.-H.,林圣哲, S.-C.,邱淑芬, S.-F.,王时杰, S.-C.,江东懋, T.-M.(2012)。运用医品圈手法提升脑中风病人住院期间病房复健活动执行率。医务管理期刊，13(1)，64-77。
连结：
Bernhardt, J.,Godecke, E.,Johnson, L.,Langhorne, P.(2017).Early rehabilitation after stroke.Current Opinion in Neurology,30(1),48-54.
Clare, C. S.(2018).Role of the nurse in stroke rehabilitation.Nursing Standard,33(7),59-66.
Hadidi, N. N.,Huna Wagner, R. L.,Lindquist, R.(2017).Nonpharmacological treatments for post-stroke depression: An integrative review of the literature.Research in Gerontological Nursing,10(4),182-195.
Held, J. P.,Ferrer, B.,Mainetti, R.,Steblin, A.,Hertler, B.,Moreno-Conde, A.,Dueñas, A.,Pajaro, M.,Parra-Calderón, C. L.,Vargiu, E.,Josè Zarco, M.,Barrera, M.,Echevarria, C.,Jódar-Sánchez, F.,Luft, A. R.,Borghese, N. A.(2018).Autonomous rehabilitation at stroke patients home for balance and gait: Safety, usability and compliance of a virtual reality system.European Journal of Physical Rehabilitation Medicine,54(4),545-553.

被引用文献 ( 1 ) 〈TOP〉

吕佳晏(Chia-Yen Lu);林淑芬(Shu-Fen Lin)(2024)。运用多元策略提升脊椎手术病人术後复健运动执行率。高雄护理杂志。41(2)。47-59。

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