提升呼吸器依賴病人轉至呼吸照護機構之家屬滿意度

Improve the Satisfaction of Family Members of Respirator-Dependent Patients who are Transferred to Respiratory Care Institutions

10.6647/CN.202306_30(2).0009

蕭佳玲(Chia-Ling Hsiao)；陳雅惠(Ya-Huei Chen)；蔡寶純(Bao-Chuem Tsay)

呼吸器依賴病人 ； 呼吸照護機構 ； 轉介聯盟 ； 滿意度 ； Respirator-dependent patient ； Respiratory care institutions ； Satisfaction

彰化護理

30卷2期（2023 / 06 / 01）

64 - 75

繁體中文;英文

背景：2016～2018年單位呼吸器依賴病人對出院準備服務滿意以上僅佔15.0%，當呼吸器依賴病人轉至呼吸照護機構時，家屬常出現焦慮與抱怨的情緒，醫病關係相形緊張，故引發專案動機。本專案目的在提升呼吸器依賴病人轉至呼吸長期照護機構之家屬滿意度。目的：轉至呼吸照護滿意度由3.2分提升至4.8分。解決方案：規畫角色扮演情境教學、運用氣管切開術健康識能教材、成立呼吸器依賴病人有溫度的轉介聯盟、推行貼心療癒專區。結果：專案推動後單位呼吸器依賴病人轉至呼吸長期照護機構之家屬滿意度提升至4.8分，達到專案目標。結論：此專案幫助加護病房呼吸器依賴病人於轉至呼吸長期照護機構的過程，獲得完善的出院準備服務，尤其建置轉介聯盟，免於上班的家屬需請假多日親自逐一至呼吸照護機構排床位，不僅讓家屬安心提升滿意度，也讓病人獲得持續又安全的照護。

Background: If respirator-dependent patients in the intensive care unit transfer to respiratory care institutions can obtain complete discharge preparation services, family satisfaction will be improved. From 2016 to 2018, only 15.0% of patients who were dependent on respirators were satisfied with discharge preparation services. When respirator-dependent patients were transferred to respiratory care institutions, their family members often experienced anxiety and complaints, and the relationship between medical and illness was tense, which triggered the project motivation. Purpose: satisfaction increased from 3.2 points to 4.8 points, reaching the project goal. and the effect remained at 4.9. Methods: Plan role-playing situational teaching, use the teaching materials for health awareness of tracheotomy, establish a respirator-dependent patient temperature referral alliance, and implement an intimate treatment and education zone. Results: Satisfaction increased from 4.8 points, reaching the project goal. and the effect remained at 4.9. Conclusions: The intensive care unit provides patients with comprehensive respiratory integrated care, so that family members can feel at ease.

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