運用創新「活動式浴床」改善末期居家病人洗澡方式與洗澡舒適度

Using an Innovative Portable Shower Bed to Improve Current Bathing Methods and Enhance the Physical Comfort of Terminally Ill Patients in Home Environments

10.6224/JN.62.3S.74

杜淑文(Shu-Wen Tu)；陳小妮(Hsiao-Ni Chen)；黃淑鶴(Shu-He Huang)

末期疾病 ； 沐浴床 ； 洗澡 ； 居家照護 ； 日常活動功能 ； terminal ill ； shower bed ； bathing ； home care ； activities of daily living (ADL)

護理雜誌

62卷3期附冊（2015 / 06 / 01）

74 - 82

繁體中文

背景　多數末期居家病人有洗澡功能障礙，加上居家的沐浴環境與設備限制，增加協助病人至浴室洗澡的困難度，嚴重地影響病人洗澡的身體舒適度與洗澡方式的滿意度。目的　透過創新「活動式浴床」專案提出便利的末期居家病人的洗澡方式與增進洗澡的身體舒適度。解決方案　藉由專案計畫的執行，使用洗澡評估工具，包括「洗澡身體舒適度評估量表」及自行擬定「洗澡方式滿意度調查表」，確實評估末期居家病人洗澡的執行的滿意度。並進一步評估影響末期居家病人洗澡的身體舒適度與洗澡方式滿意度的因素。透過可行性策略的評估，創新設計出「活動式浴床」輔具作為提升末期居家病人洗澡改善策略。結果　本專案設計之「活動式浴床」能夠有效改善末期居家病人的洗澡身體舒適度與洗澡方式滿意度。專案結果病人對洗澡方式表示非常滿意及滿意者有90%，病人的洗澡舒適度也由原來的平均3.9分提升至平均6.13分。結論　本專案透過確實評估末期居家病人的洗澡影響因素，透過可行策略的評估與行動，設計及運用「活動式浴床」改善末期居家病人的洗澡照護問題，加上此創新設計的洗澡照護輔具是一便宜、實用、操作簡便且可摺疊收納，可以運用在不同形式的住家床鋪，滿足末期居家病人洗澡的需求，提升其身體舒適度。

Background & Problems: Terminally ill patients frequently suffer from physical distress and a limited ability to perform activities of daily living. Bathing is a particularly troublesome problem for these patients, as the limitations of the home environment increase the challenges for caregivers to bathe terminally ill patients at home. Purpose: This study was developed to alter the current bathing methods of terminally ill patients in order to improve their physical comfort and to help caregivers better facilitate home-bathing care for their patients. Resolutions: A ＂portable shower bed＂ was introduced to allow patients to bathe in their own beds. The tools used to evaluate results were the Bathing and Physical Comfort Scale and the self-developed Bathing Satisfaction Questionnaire. Results: A total of 90% of participants expressed satisfaction with the portable shower bed. Furthermore, the average physical comfort score of participants improved from 3.9 to 6.13. Conclusion: The innovative portable shower bed is inexpensive, practical, foldable, easy to operate, safe, and comfortable. The bed significantly reduces the difficulties faced by caregivers in helping terminally ill patients bathe in home environments. This shower bed reduces the burden on caregivers by improving bathing care and the physical comfort of terminally ill patients.

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