题名

燒傷加護病房護理人員對口腔皮瓣手術病人照護完整率

并列篇名

Improve the Nursing Integrity Rate of the Patient After Oral Free Flap Surgery in the Burn Intensive Care Unit

作者

林雅娟(Ya-Chuan Lin);張堯婷(Yao-Ting Chang);蔣念懷(Nien-Huai Chiang)

关键词

口腔皮瓣 ; 手術後照護 ; oral free flap ; postoperative care

期刊名称

志為護理-慈濟護理雜誌

卷期/出版年月

22卷1期(2023 / 02 / 01)

页次

83 - 93

内容语文

繁體中文;英文

中文摘要

本文主旨在提升護理人員口腔皮瓣手術照護完整率之改善方案,提高醫療照護品質。針對某醫學中心燒傷加護病房護理人員未及時發現口腔皮瓣異常變化並通報,造成口腔皮瓣不可逆的傷害,故經由觀察及試卷進行調查後,確認問題導因經舉辦實體在職教育課程、繪製皮瓣手術監測流程卡通圖並設計口訣及打油詩、錄製多媒體教學影片並上傳至數位學習平臺、繪製2D立體圖像教學及稽核制度等解決方案後,口腔皮瓣手術照護認知正確率由79.9%提升至100%,照護完整率由實施前79.1%提升為97.5%,本專案藉由有效對策不僅提升照護完整率,同時提高整體滿意度,期能推行至相關單位,以促進整體照護品質及維護病人安全。

英文摘要

The purpose of this nursing project is to improve the nursing integrity rate of the patient after oral free flap surgery, and the quality of medical care. Nursing staff in the burn intensive care unit of a medical center had failed to detect and report abnormal changes of the oral flap tissue in time, which caused irreversible damage to the oral free flap. After investigation through observation and examination paper, it was confirmed that the problem was successfully addressed by holding physical on-the-job education courses, drawing cartoon pictures of the monitoring process after oral free flap surgery, designing mnemonic phrase and limericks, recording multi-media teaching videos and uploading them to a digital learning platform, and drawing 2D stereoscopic images for teaching and auditing systems. The correcting rate of the nursing care cognition of oral free flap surgery had increased from 79.9% to 100%, while the care integrity rate has increased from 79.1% to 97.5%. Through effective countermeasures, this project not only improves the care integrity rate, but also improves overall satisfaction. It is expected to be implemented to relevant units to promote overall care quality and maintain patient's safety.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 陳湘君,黃佩芳,洪美慧,張峰玉,張碧華(2017)。提升燒傷中心護理人員口腔癌顯微游離皮瓣手術病人異常組織辨識正確率。榮總護理,34(3),248-255。
    連結:
  2. Abdulrahaman, M. D.,Faruk, N.,Oloyede, A. A.,Surajudeen-Bakinde, N. T.,Olawoyin, L. A.,Mejabi, O. V.,Imam-Fulani, Y. O.,Fahm, A. o.,Azeez, A. L.(2020).Multimedia tools in the teaching and learning processes: A systematic review.Heliyon,6(11),e05312.
  3. Crawley, M. B.,Sweeny, L.,Ravipati, P.,Heffelfinger, R.,Krein, H.,Luginbuhl, A.,Goldman, R.,Curry, J.(2019).Factors associated with free flap failures in head and neck reconstruction.Otolaryngology–Head and Neck Surgery,161(4),598-604.
  4. Kääriäinen, M.,Halme, E.,Laranne, J.(2018).Modern postoperative monitoring of free flaps.Current Opinion in Otolaryngology & Head and Neck Surgery,26(4),248-253.
  5. Khan, M. A. A.,Mohan, A.,Ahmed, W.,Rayatt, S.(2010).Nursing monitoring and management of free and pedicled flapsoutcomes of teaching sessions on flap care.Plastic Surgical Nursing,30(4),213-216.
  6. Khatri, N.,Zhang, S.,Kale, S. S.(2017).Current techniques for postoperative monitoring of microvascular free flaps.Journal of Wound Ostomy and Continence Nursing,44(2),148-152.
  7. 林采蓉,楊慶怡,吳昭瑩,廖玉美(2013)。提升口腔癌病人顯微游離皮瓣手術成功率之改善專案。護理雜誌,60(6),68-75。
  8. 衛生福利部(2019,12月27日),107年度全民健康保險醫療統計年報。https://dep.mohw.gov.tw/DOS/cp-4648-50662-113.html。