新冠肺炎疫情期間護理人員執行出院準備服務之現況與因應

Impact of COVID-19 Pandemic on Discharge Planning by Nursing Staff

10.6142/VGHN.202309_40(3).0002

宋宜盉(Yi-He Song)；洪淑真(Shu-Chen Hung)；鄧喬鳳(Chiao-Feng Teng)；劉秀華(Hsiu-Hua Liu)

新冠肺炎 ； 護理人員 ； 出院準備服務 ； COVID-19 ； nursing staff ； hospital discharge preparation service

榮總護理

40卷3期（2023 / 09 / 01）

235 - 247

繁體中文;英文

國內COVID-19疫情增加出院準備服務之困難度，嚴重影響病人返家後之照護品質。本研究探討新冠疫情期間陪病訪客制度，一般病房護理人員對於出院準備服務認知、執行出院準備計劃困難度、資源連結之困擾程度和因應措施。本研究採橫斷式研究，利用Google表單自擬結構式問卷進行資料分析，共發出400份，回收率100%。結果顯示，出院準備服務的認知與年齡（p<.001）、工作年資（p<.001）、護理能力進階（p=.003）及近三年（2019－2021）接受出院準備相關課程次數（p<.001）統計上有顯著差異；執行出院準備計劃困難度與工作年資（p=.045）、陪病者是否有輪替（p=.023）以及輪替人數（p<.001）統計上有顯著差異；疫情期間對資源連結之困擾程度未發現顯著差異之相關因子；執行出院準備計劃因應措施與護理能力進階（p=.005）統計上有顯著差異。研究結果建議：一、各醫療院所每年舉辦實體或數位出院準備服務課程；二、相關衛教單張、影片製作成QR code，提供照顧者返家後可隨時觀看；三、發展遠距監測系統或定期電話訪問，即時解決主要照護者遇到的問題，以利病人返家後照護。

The COVID-19 pandemic increased the difficulty of discharge planning, seriously affecting the quality of care for patients returning home. This study explored general ward nurses' perceptions of discharge preparation services, the difficulty of implementing discharge plans, the degree of distress involved in resource connection, and the coping measures they used during the COVID-19 pandemic. This was a cross-sectional study using a self-made structured online questionnaire (Google form) for data collection. A total of 400 questionnaires were issued, and the response rate was 100%. Significant correlations (p< .001) existed between the perception of discharge preparation services and age, work experience, nursing ability level, whether the nurse accompanied patients during their rotation, and the number of courses related to discharge preparation completed from 2019 to 2021; the perceived difficulty of implementing discharge preparation plans was significantly correlated (p= .045) with work experience, whether accompanied patients were rotated, and the number of the rotations. During the pandemic, no measured factor was correlated significantly with the perceived degree of distress involved in resource connection. The perceived difficulty of implementing discharge plans was significantly related to advanced nursing ability (p= .005). The following suggestions are based on the research results: First medical institutions should provide physical or digital discharge preparation service courses yearly. Second, relevant health education leaflets and videos should be provided with quick response codes to enable caregivers to refer to them at any time after returning home. Third, remote monitoring systems that can help solve problems encountered by primary caregivers immediately should be developed to enable patients to remain connected to care services after returning home.

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