降低骨科病人下肢手術後肌力喪失發生率

A Program to Decrease the Percentage of Orthopedic in Patients with Muscle Power Loss after Lower Limb Surgery

10.6142/VGHN.27.3.263

王美惠(Mei-Huey Wang)；陳秀麗(Hsiu-Li Chen)；張梅杏(Mei-Shing Chang)；洪秀蓉(Hsiu-Jung Hung)

骨科住院病患 ； 肌力喪失 ； 下肢手術後 ； orthopedic in-patients ； muscle power loss ； lower limb post-operation

榮總護理

27卷3期（2010 / 09 / 01）

263 - 270

繁體中文

本專案為降低某醫學中心骨科住院病人下肢術後肌力喪失發生率。經由病房品管監測發現肌力喪失病人有逐年上升趨勢，故於2008年3月成立專案小組，經回溯2007年肌力喪失個案之資料分析及現場調查，確定其因素為缺乏股四頭肌肌力評估標準和肌力訓練運動太單調，於是制定股四頭肌肌力評估標準及利用彈力球設計有趣的肌力復健運動，舉辦教育宣導、衛教活動、製作海報、標語、建立查核機制等多方面同時著手，6個月後肌力喪失發生率由8.2%降至3.3%，同時此時間內無因下肢手術相關肌力喪失之跌倒案例。由此可知，本專案活動確實可有效改善下肢肌力喪失，期望未來能將此創新方案推展至其他單位，以提昇對病人安全照護品質。

After auditing, the percentage of orthopedic in-patients with muscle power loss after lower limb surgery was found to be increasing annually, so, a task force was assembled to analyze the data of those in 2007 and to investigate situations in the ward. We found that there were no standardized methods to evaluate quadriceps muscle force and quadriceps muscle training exercises were too monotonous. To reverse the situations, we standardized the methods of quadriceps muscle power evaluation and devised interesting muscle strengthening exercise by using elastic balls. In addition, we made efforts to refine patients' education and instruction with posters and slogans. We established proper auditing mechanisms as well. After implementing the new program for six months, the percentage of patients with muscle power loss decreased from 8.2% to 3.3%. At the same time, no patients undergoing lower limb surgery had accidental falls in the ward. We concluded that this new program could effectively decrease the percentage of in-patients with lower limb muscle power loss. We wish to share our experience with other organizations and to improve patients' safety.