提升慢性腎衰竭患者及主要照顧者對飲食指導的認知率

Promoting the Recognition Rate in Dietary Guidance for Patients with Chronic Kidney Disease and Their Primary Caregivers

10.6142/VGHN.34.1.40

方怡今(I-Chin Fang)；陳郁琪(Yu-Chi Chen)；朱冠蓁(Kuan-Chen Chu)

飲食指導 ； 主要照顧者 ； 慢性腎衰竭 ； dietary guidance ； primary caregiver ； chronic kidney disease

榮總護理

34卷1期（2017 / 03 / 01）

40 - 48

繁體中文

本專案目的在於提升慢性腎衰竭患者及主要照顧者對於飲食指導的認知率，於2015 年5、6 月問卷調查統計患者及主要照顧者慢性腎衰竭飲食認知率為54.2%、護理人員飲食認知率為75.7%，現況分析後，發現問題為：缺乏適當的衛教輔具及衛教單張、團體衛教過少、護理人員飲食認知不足、缺乏相關訓練課程、衛教指導無標準化。藉由在職教育了解飲食原則，設計衛教指導標準流程，運用創新慢性腎衰竭飲食貼本教學，修訂現有的衛教單張並增設圖示、張貼慢性腎衰竭飲食指導海報於衛教園地、增加團體衛教次數。經專案策略執行後，患者及主要照顧者對飲食的認知率提升至86.8%，護理人員對慢性腎衰竭飲食的認知率提升至100%，已獲得良好的成效。

This project was aimed at promoting the recognition rate in dietary guidance for patients with chronic kidney disease (CKD) and their primary caregivers. Questionnaires completed by the patients and their primary caregivers between May and June 2015 showed that they exhibited a recognition rate of 54.2%. The recognition rate of nursing staff was 75.7%. An analysis of the questionnaires revealed a lack of appropriate health education equipment and materials, health education workshops, dietary guidance knowledge among nursing staff, relevant training courses, and standardized health guidance. Strategies to overcome these issues include providing in-service education to promote the understanding of dietary principles, designing health education guidance standard operation procedure, implementing new CKD dietary guidance booklets, revising the current health education pamphlet and adding illustrations, installing CKD dietary guidance posters on the health education board, and increasing the frequency of health education workshops. Improvements were observed after implementing these strategies. Specifically, the recognition rate increased to 86.8% among patients and their primary caregivers, and the recognition rate of the dietary needs of patients with CKD increased to 100% among nursing staff.

1. 楊美雪、邱于平(2012)。圖像與文字的交織：網路知識分享形式對學習成效之影響。行銷評論，9(4)，463-475。
   連結：
2. 楊馥如(2009)。國一階段生命教育多媒體遊戲學習教材研發與評鑑研究。藝術學報，85，479-503。
   連結：
3. 衛生福利部(2016，7 月15 日)･慢性腎臟病防治･取自http://www.nhi.gov.tw/Resource/webdata/2625812015發生率盛行率糖尿病透析置放全球資訊網-1050 714-2 版.pdf
4. Fink, R.,Gilmartin, H.,Richard, A.,Capezuti, E.,Boltz, M.,Wald, H.(2012).Indwelling urinary catheter management and catheterassoci-Ated urinary tract infection prevention practices in nurses improving care for healthsystem elders hospitals.American Journal of Infection Control,40(8),715-720.
5. Ford, J. C.,Pope, J. F.,Hunt, A. E.,Gerald, B.(2004).The effect of diet education on the laboratory values and knowledge of hemodialysis patients with yperphosphatemia.Journal of Renal Nutrition,14(1),36-44.
6. Hsu, C. C.,Hwang, S. J.,Wen, C. P.,Chang, H. Y.,Chen, T.,Shiu, R. S.,Yang, W. C.(2006).High preval ence and low awareness of chronic kidney disease in Taiwan: a study on the relationship between serum creatinine and awareness from a nationally represe- ntative survey.American Journal of Kidney Diseases,48(5),727-738.
7. Nerbass, F. B.,Morais, J. G.,dos Santos, R. G.,Krüger, T. S.,Koene,T. T.,da Luz Filho, H. A.(2010).Adherence and knowledge about hyperphosphatemia treatment in hemodialysis patients with hyperphosphatemia.Jornal Brasileiro de Nefrologia,32(2),149-155.
8. 台灣腎臟醫學會(2010)。慢性腎臟病防治手冊。台北市:行政院衛生署國民健康局。
9. 林偉弘、郭冠良、夏清智、吳岱穎、陳建志(2013)。淺談慢性腎臟病。北市醫學雜誌，10(2)，101-109。
10. 張靜儀(2012)。認知遊戲啟發兒童創造力與問題解決能力。文化生活，67，20-26。
11. 陳建文、李仁慈、蕭善良、陳妙佩、毛鴻忠(2014)。晚期慢性腎臟病衛教的介入成效。腎臟與透析，26(1)，69-73。
12. 陳曉珮、陳玉敏(2010)。慢性腎衰竭患者的營養照護。臺灣腎臟護理學會雜誌，9(2)，14-21。
13. 黃冠霖、黃尚志(2014)。台灣腎臟病安寧照護的概況。腎臟與透析，26(1)，1-6。
14. 楊文中、鄧秀蘭、顏妙芬(2010)。以實證探討慢性腎臟病低蛋白飲食成效。台灣腎臟護理學會雜誌，9(2)，22-33。
15. 廖珮吟(2014)。慢性腎臟病與營養。血管醫學防治季刊，17，20-22。

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