醫院與長照機構推動社區安寧整合性服務

Partnership between Hospital and Long Term Healthcare Service Organization in Promoting a Holistic Service for Palliative Care

10.6200/TCMJ.2015.12.SP.12

侯春梅(Chun-Mei Hou)；陳雅芳(Ya-Fang Chen)；黃勝堅(Sheng-Jean Huang)；楊文理(Winnie Yang)；蔡衣帆(Yi-Fan Tsai)

醫院與機構 ； 社區安寧 ； 整合性服務 ； Hospital and organization ； Community palliative ； Holistic service

北市醫學雜誌

12卷附冊（2015 / 06 / 30）

130 - 148

繁體中文

某區域醫院協助長照機構推動社區安寧療護過程中發現，長照機構內護理人員接受安寧緩和教育訓練僅為5.6%，經要因分析為缺乏社區安寧收案之標準、對社區安寧照護認知不足、缺乏社區安寧照護之流程、缺乏適當社區安寧照護之動線。故擬定對策為制定社區安寧收案標準作業、規劃教育訓練、製作社區安寧照護多媒體光碟、制定社區安寧照護流程、規劃機構適當社區安寧照護環境動線，目標為提升安寧整合性服務滿意度達90%，運用上述對策後，推動安寧整合性服務滿意度達到94%，有鑒於解決辦法成效良好，已平行展開推行至合約養護機構群。

During a campaign to promote community palliative care service through long term healthcare organization by a regional hospital, it was realized that there was an absence of such service in this particular organization. A total of 5.6% of the nurses in this long term health care organization had received educational training on palliative care before. Analysis results into the issue showed that the lack of such training was due to the followings. First, there was a lack of standard and procedure for receiving palliative care cases, knowledge of community palliative care, as well as a route for conducting the services. Hence, we established standard operating procedures for receiving palliative care cases, organized educational training, produced CD-ROM on community palliative care, setting up caring procedures, and planned routes for the use of the services. The aim was to achieve an overall satisfaction of 90% on integrated palliative services. After the implementation of the above solutions, the overall satisfaction reached 94%. The scheme has also been implemented in other private organizations due to its success.