英文摘要
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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.
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参考文献
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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:
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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.
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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.
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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.
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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.
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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.
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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。
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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。
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