多元創新策略於腦中風病人早期肢體復健計畫

Diversified Innovation Strategies for an Early Limb Rehabilitation Program in Patients With Stroke

10.6224/JN.202002_67(1).10

徐琦溦(Chi-Wei HSU)；林穎函(Ying-Han LIN)；張詩怡(Shih-Yi CHANG)；蔡佩蓉(Pei-Jung TSAI)；沈姿君(Tzu-Chun SHEN)；林幼麗(Yu-Li LIN)

腦中風 ； 早期復健 ； 復健策略 ； 體感遊戲 ； brain stroke ； early rehabilitation ； rehabilitation strategy ； somatosensory game

護理雜誌

67卷1期（2020 / 02 / 01）

81 - 88

繁體中文

背景：早期復健對腦中風病人身體功能的恢復具其重要性，然而腦中風病人早期肢體復健介入率僅16%。目的：提升腦中風病人入院24小時內早期肢體復健介入率達88%。解決方案：制定腦中風肢體復健照護教育訓練與E-Learning課程、組成復原者聯盟、建立腦中風肢體復健接力標準、復健接力卡、Xbox復健遊戲、設計挑戰腦中風照護九宮格。結果：護理師肢體復健認知正確性由72.4%提升至100%；腦中風病人早期肢體復健介入率由16%提升至100%；病人滿意度由68%提升至98%。結論：運用多元創新策略於腦中風病人肢體復健，確實有良好成效，應持續增強病人與照護者早期復健與主動參與計畫，並將所學復健活動與技能，持續用於生活。

Background & Problems: Early rehabilitation after stroke is important for the recovery of bodily functions in stroke patients. However, the percentage of completion of early limb rehabilitation among stroke patients is only 16%. Purpose: Raise the early rehabilitation intervention rate to 88% for patients with stroke within 24 hours of hospitalization. Resolution: We developed an education course on post-stroke rehabilitation and a related e-Learning course as well as organized an 'alliance for recovery' team. In addition, we established a standard for post-stroke relay rehabilitation and designed rehabilitation relay cards, Xbox rehabilitation games, and nine squares challenge for brain stroke care. Result: The accuracy of the knowledge of nursing staff related to physical rehabilitation improved from 72.4% to 100%; the accuracy of their perceptions regarding early limb rehabilitation increased from 16% to 100%; and patient satisfaction increased from 68% to 98%. Conclusions: We deployed diverse and innovative strategies to assist limb rehabilitation in patients with stroke. Patients and caregivers should be encouraged to participate in early rehabilitation and related programs and should apply the skills and rehabilitation activities learned to daily life.

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