提昇護理人員對肝硬化病患飲食護理指導成效之改善專案

Evaluation of the Nurses' Dietary Instructions to Liver Cirrhosis Patients

10.6386/CGN.200409_15(3).0009

李權芳(Chuan-Fang Li)；江明珠(Ming-Chu Chiang)；林欣妮(Shin-Ni Lin)；黃珊(Shan Huang)

肝硬化 ； 飲食指導 ； liver cirrhosis ； dietary instruction

長庚護理

15卷3期（2004 / 09 / 01）

320 - 328

繁體中文

This program was designed to improve the nursing staffs' dietary instructions to liver cirrhosis patients and improve the dietary intake knowledge of the liver cirrhosis patients. Hence, the patients could keep proper dietary habit after being discharged from the hospital. Liver cirrhosis patients and the nursing staffs in a gastrointestinal medical ward of a medical center were enrolled into this dietary instruction improvement program. From May to July in 2002, data were collected by on-site observations, interviews, and questionnaires. The data were analyzed and reported by a dietary cognitive scoring system with a scaled score from 0 to 10 in the nursing staffs and 0-9 in the patients. Before the implementation of the dietary instruction program, the dietary cognitive score of the nursing staffs and the patients were 5.6 (56%) and 3.9 (43.3%), respectively. The implementation of dietary instruction by nursing staffs was 46.7%. The program involved nursing staffs' education, standardization and quality control of the dietary instructions on liver cirrhosis. Study was focused on strengthening the correct dietary instructions by the nursing staffs. After the implementation of the program, the dietary cognitive score increased from 5.6 (56) to 9.2 (92) (p≤.001) and from 3.9 (43.3) to 8 (88.1) (p≤.001) in nursing staffs and patients, respectively. The implementation rate of the nursing staff on the dietary instruction of the liver cirrhosis patients increased to 100%. Thus, strengthening the cognition of the nursing staffs and reinforcing the nursing instructions are effective in improving the dietary cognition of the liver cirrhosis patients.

This program was designed to improve the nursing staffs' dietary instructions to liver cirrhosis patients and improve the dietary intake knowledge of the liver cirrhosis patients. Hence, the patients could keep proper dietary habit after being discharged from the hospital. Liver cirrhosis patients and the nursing staffs in a gastrointestinal medical ward of a medical center were enrolled into this dietary instruction improvement program. From May to July in 2002, data were collected by on-site observations, interviews, and questionnaires. The data were analyzed and reported by a dietary cognitive scoring system with a scaled score from 0 to 10 in the nursing staffs and 0-9 in the patients. Before the implementation of the dietary instruction program, the dietary cognitive score of the nursing staffs and the patients were 5.6 (56%) and 3.9 (43.3%), respectively. The implementation of dietary instruction by nursing staffs was 46.7%. The program involved nursing staffs' education, standardization and quality control of the dietary instructions on liver cirrhosis. Study was focused on strengthening the correct dietary instructions by the nursing staffs. After the implementation of the program, the dietary cognitive score increased from 5.6 (56) to 9.2 (92) (p≤.001) and from 3.9 (43.3) to 8 (88.1) (p≤.001) in nursing staffs and patients, respectively. The implementation rate of the nursing staff on the dietary instruction of the liver cirrhosis patients increased to 100%. Thus, strengthening the cognition of the nursing staffs and reinforcing the nursing instructions are effective in improving the dietary cognition of the liver cirrhosis patients.