提升心臟衰竭病人自我照護執行率之改善專案

Improvement Project to Increase Self-care Implementation Rates for Heart Failure Patients

10.6540/NTJN.202309_25(2).0007

陳怡蓁(Yi-Jhen Chen)；黃惠鈺(Hui-Yu Huang)；洪玉敏(Yu-Min Hung)；黃湘晴(Hsiang-Ching Huang)

心臟衰竭 ； 自我照護 ； 執行率 ； 疾病認知 ； heart failure ； self-care ； implementation rates ； disease cognition

新臺北護理期刊

25卷2期（2023 / 09 / 01）

77 - 87

繁體中文;英文

臨床發現護理人員給予心臟衰竭疾病衛教後，病人仍無法確實執行自我照護行為，經現況調查發現：病人對於每日限水分配不清楚及無法配合、對於限鈉測量方式不清楚及無法配合、認為規律測量體重與心臟衰竭疾病控制無關，護理人員未交接評值結果、中斷衛教後未再執行，衛教工具內容文字太多且無教具及圖片輔佐，導致自我照護執行率僅有61.4%。本專案透過製作心臟衰竭衛教指導內容交接確認查檢表、心臟衰竭居家自我照護影片、舉辦心臟衰竭居家照護體驗營及設計心臟衰竭自我照護概念海報等對策實施後，心臟衰竭病人自我照護執行率提升至93.8％，達專案目標。專案推行後，心臟衰竭病人提升自我照護執行率後，進而改善生活品質，並降低再入院率。

Clinical research shows that patients were still unable to actually perform self-care behaviors after nursing staff educated them about heart failure disease. Investigation and analysis of the current situation found that patients did not understand daily water restriction and could not cooperate. They were unclear about sodium restriction measurement method and could not cooperate as well. They regarded that regularly recorded body weight was not related to heart failure control. In addition, nursing staff did not hand over the evaluation result. They did not continue health education after the interruption. The health education tool was too boring. The implementation rate of self-care tools was only 61.4%. This project through the heart failure education checklist, self-care at home videos, self-care experience camps, and self-care concept posters, the implementation rate increased to 93.8%, reaching the project target. Heart failure patients improved the quality of life and reduced the chance of readmission after increasing the self-care implementation rate.

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