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內科病房護理人員的靈性健康狀態與靈性照顧行為 内科病房护理人员的灵性健康状态与灵性照顾行为
Pub Date : 2022-06-01 DOI: 10.53106/156104972022062101001
黃沛榆 黃沛榆, 謝嘉琪 謝嘉琪, 沈郁惠 Chia-Chi Hsieh, 黃心樹 Yu-Hui Shen
背景:過去研究顯示較少與內科病房護理人員靈性健康,與提供病人靈性照顧行為之相關研究,故值得探討此方面的研究。目的:探討內科病房護理人員的靈性健康、靈性照顧行為及其相關因素。方法:本研究採調查研究法,以方便取樣方式,調查台灣中部某區域教學醫院的內 科病房護理人員140 人,研究工具包括「護理人員靈性健康量表」和「靈性照顧行為量表」等結構式問卷,資料以SPSS Windows version 20.0 版進行描述性與推論性統計分析。結果:首先,內科病房護理人員靈性健康狀態受年齡、性別、宗教信仰、教育程 度、工作年資、目前擔任職務、婚姻、自覺身體健康狀態、是否受過靈性教育等變項影響;而靈性照護行為則受年齡、宗教信仰、目前擔任職務等變項 影響。其次,內科病房護理人員靈性健康與靈性照護行為呈顯著正相關,靈性健康得分越高,靈性照護行為分數得分越高。再者,內科病房護理人員靈 性健康狀態可顯著預測靈性照護行為。結論/ 實務運用:研究者建議護理教育、臨床護理及護理行政增加靈性關懷及靈性照護行為的策略,使臨床醫護人員其靈性健康狀態及靈性照護行為可以被提 升,以達全人照護中靈性照護的品質。 Background: Past studies have seldom discussed the spiritual health of nurses and their spiritual care behaviors in medical wards; therefore, it is worthwhile to study such areas.Purpose: T o investigate spiritual health and spiritual care behavior factors related nursing staffs in medical wards.Methods: T his study used a survey with convenience sampling to investigate 140 nursing staffs in the medical wards of a regional teaching hospital at in central Taiwan. The research tools included the Nursing Staff Spiritual Health Scale and the Spiritual Care Behavior Scale as the structure questionnaire. Data analysis was conducted of the descriptive and inference statistics by SPSS Windows version 20.0.Results: I nitially, the spiritual health status of nursing staffs in the medical wards was influenced by age, gender, religious belief, education level, working years, current position, marriage, conscious physical health status, and whether or not they had received spiritual education; while the spiritual care behavior was influenced by age, religious beliefs, current positions, etc. Additionally, the spiritual health status and spiritual care behavior of nursing staffs in the medical wards were significantly positively correlated with each other. The higher the spiritual health scores, the higher the scores of the spiritual care behavior. Furthermore, the spiritual health status of nursing staffs in the medical wards can significantly predict their spiritual care behaviors.Conclusion/Clinical Implication: This study suggests adding strategies of spiritual care and spiritual care behavior for nursing education, clinical nursing, and nursing administration. In doing so, the spiritual health status and spiritual care behaviors of clinical healthcare professionals could be promoted, thus affecting the quality of spiritual care in holistic care settings. 
背景:过去研究显示较少与内科病房护理人员灵性健康,与提供病人灵性照顾行为之相关研究,故值得探讨此方面的研究。目的:探讨内科病房护理人员的灵性健康、灵性照顾行为及其相关因素。方法:本研究采调查研究法,以方便取样方式,调查台湾中部某区域教学医院的内 科病房护理人员140 人,研究工具包括「护理人员灵性健康量表」和「灵性照顾行为量表」等结构式问卷,资料以SPSS Windows version 20.0 版进行描述性与推论性统计分析。结果:首先,内科病房护理人员灵性健康状态受年龄、性别、宗教信仰、教育程 度、工作年资、目前担任职务、婚姻、自觉身体健康状态、是否受过灵性教育等变项影响;而灵性照护行为则受年龄、宗教信仰、目前担任职务等变项 影响。其次,内科病房护理人员灵性健康与灵性照护行为呈显著正相关,灵性健康得分越高,灵性照护行为分数得分越高。再者,内科病房护理人员灵 性健康状态可显著预测灵性照护行为。结论/ 实务运用:研究者建议护理教育、临床护理及护理行政增加灵性关怀及灵性照护行为的策略,使临床医护人员其灵性健康状态及灵性照护行为可以被提 升,以达全人照护中灵性照护的品质。 Background: Past studies have seldom discussed the spiritual health of nurses and their spiritual care behaviors in medical wards; therefore, it is worthwhile to study such areas.Purpose: T o investigate spiritual health and spiritual care behavior factors related nursing staffs in medical wards.Methods: T his study used a survey with convenience sampling to investigate 140 nursing staffs in the medical wards of a regional teaching hospital at in central Taiwan. The research tools included the Nursing Staff Spiritual Health Scale and the Spiritual Care Behavior Scale as the structure questionnaire. Data analysis was conducted of the descriptive and inference statistics by SPSS Windows version 20.0.Results: I nitially, the spiritual health status of nursing staffs in the medical wards was influenced by age, gender, religious belief, education level, working years, current position, marriage, conscious physical health status, and whether or not they had received spiritual education; while the spiritual care behavior was influenced by age, religious beliefs, current positions, etc. Additionally, the spiritual health status and spiritual care behavior of nursing staffs in the medical wards were significantly positively correlated with each other. The higher the spiritual health scores, the higher the scores of the spiritual care behavior. Furthermore, the spiritual health status of nursing staffs in the medical wards can significantly predict their spiritual care behaviors.Conclusion/Clinical Implication: This study suggests adding strategies of spiritual care and spiritual care behavior for nursing education, clinical nursing, and nursing administration. In doing so, the spiritual health status and spiritual care behaviors of clinical healthcare professionals could be promoted, thus affecting the quality of spiritual care in holistic care settings.
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引用次数: 0
一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗 一位初诊断毛毛样脑血管症并发冠状动脉疾病之护理经验
Pub Date : 2022-06-01 DOI: 10.53106/156104972022062101009
黃思緯 黃思緯, 王旭菁 王旭菁
本文探討一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗,於 2019 年2 月 28 日至 3 月 11 日運用 Gordon 十一項健康功能型態評估,經由觀察、會談、身 體評估及病歷查閱等方式蒐集資料,確立護理問題有健康維護能力改變、心輸出量減少、焦慮。藉由共同討論自我照顧學習計畫,重建健康生活型態;教導罹患冠狀 動脈疾病後正確的照護及心肺復健運動計畫介入,維護現存的心肺功能;以傾聽、鼓勵使個案宣洩負向情緒,主動召開跨專業領域會議,規劃出院返家後的各項事 宜,及引導重要家人照護,緩解焦慮的情緒。毛毛樣腦血管症屬罕見疾病,醫療團隊在鮮少有例可循,又無實際照護經驗之下,能有足夠的訊息討論如何提供最適切 的照護,是一大困難;而後續返家照護僅只能由電訪了解及關心,這是在照顧個案時,所感到的限制,因此建議,醫院可成立罕見疾病的個案管理師及資料庫,協助 居家訪視且定期召開團隊的討論會,將獨特疾病案例完整建構,以提供往後臨床護理同仁,照護此類個案有足夠的訊息,提供最適當的照顧。盼藉此經驗可作為未來 照護此類病人之參考。 This paper explores a nursing experience with a patient diagnosed with Moyamoya disease associated with coronary artery disease for the first time. The patient’s medical state was measured using Gordon‘s Functional Health Patterns Assessment between Feb. 28 and Mar. 11, 2019. This assessment, coupled with data collection using observation, conversation, physical examination, and medical history, helped to identify the patient’s health issues that required the nursing staff’s special attention: a compromised self-care ability, decreased cardiac output, and symptoms of anxiety. By discussing the self-care learning plan with the patient, the nursing team helped the patient to re-create a healthy lifestyle. The patient was also taught about a good self-care routine to manage his coronary artery disease, and was urged to engage in a cardiac rehabilitation program, so as to prevent her heart and lungs from deterioration. The nursing staff listened closely to the patient’s complaints, so she could let her negative emotions out. A cross-field meeting was convened, so as to pre-arrange everything that should be prepared for the patient after she was discharged from hospital, help her immediate family members to take better care of her, and assuage her anxiety. Moyamoya disease is a rare disorder, so there were very few examples to be followed. Hence it was a big challenge to decide how to provide the most appropriate care to the patient as the nursing team did not have actual care expe- rience and lacked sufficient information regarding this area. Another limitation arose when nurses could only check her conditions via phone calls after she was discharged from hospital. For that reason, it is advisable to recruit rare disease case managers and create a database, in order to help with paying home visits and convening discussion meetings on a regular basis. In so doing, cases of rare diseases can be more completely compiled, so clinical nursing staff will have sufficient information in this regard, and will be able to offer the best possible care to their patients. This nursing experience is hereby shared and serves as a reference for clinical practices. 
本文探讨一位初诊断毛毛样脑血管症并发冠状动脉疾病之护理经验,于 2019 年2 月 28 日至 3 月 11 日运用 Gordon 十一项健康功能型态评估,经由观察、会谈、身 体评估及病历查阅等方式搜集资料,确立护理问题有健康维护能力改变、心输出量减少、焦虑。借由共同讨论自我照顾学习计划,重建健康生活型态;教导罹患冠状 动脉疾病后正确的照护及心肺复健运动计划介入,维护现存的心肺功能;以倾听、鼓励使个案宣泄负向情绪,主动召开跨专业领域会议,规划出院返家后的各项事 宜,及引导重要家人照护,缓解焦虑的情绪。毛毛样脑血管症属罕见疾病,医疗团队在鲜少有例可循,又无实际照护经验之下,能有足够的讯息讨论如何提供最适切 的照护,是一大困难;而后续返家照护仅只能由电访了解及关心,这是在照顾个案时,所感到的限制,因此建议,医院可成立罕见疾病的个案管理师及资料库,协助 居家访视且定期召开团队的讨论会,将独特疾病案例完整建构,以提供往后临床护理同仁,照护此类个案有足够的讯息,提供最适当的照顾。盼借此经验可作为未来 照护此类病人之参考。 This paper explores a nursing experience with a patient diagnosed with Moyamoya disease associated with coronary artery disease for the first time. The patient’s medical state was measured using Gordon‘s Functional Health Patterns Assessment between Feb. 28 and Mar. 11, 2019. This assessment, coupled with data collection using observation, conversation, physical examination, and medical history, helped to identify the patient’s health issues that required the nursing staff’s special attention: a compromised self-care ability, decreased cardiac output, and symptoms of anxiety. By discussing the self-care learning plan with the patient, the nursing team helped the patient to re-create a healthy lifestyle. The patient was also taught about a good self-care routine to manage his coronary artery disease, and was urged to engage in a cardiac rehabilitation program, so as to prevent her heart and lungs from deterioration. The nursing staff listened closely to the patient’s complaints, so she could let her negative emotions out. A cross-field meeting was convened, so as to pre-arrange everything that should be prepared for the patient after she was discharged from hospital, help her immediate family members to take better care of her, and assuage her anxiety. Moyamoya disease is a rare disorder, so there were very few examples to be followed. Hence it was a big challenge to decide how to provide the most appropriate care to the patient as the nursing team did not have actual care expe- rience and lacked sufficient information regarding this area. Another limitation arose when nurses could only check her conditions via phone calls after she was discharged from hospital. For that reason, it is advisable to recruit rare disease case managers and create a database, in order to help with paying home visits and convening discussion meetings on a regular basis. In so doing, cases of rare diseases can be more completely compiled, so clinical nursing staff will have sufficient information in this regard, and will be able to offer the best possible care to their patients. This nursing experience is hereby shared and serves as a reference for clinical practices.
{"title":"一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗","authors":"黃思緯 黃思緯, 王旭菁 王旭菁","doi":"10.53106/156104972022062101009","DOIUrl":"https://doi.org/10.53106/156104972022062101009","url":null,"abstract":"\u0000 本文探討一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗,於 2019 年2 月 28 日至 3 月 11 日運用 Gordon 十一項健康功能型態評估,經由觀察、會談、身 體評估及病歷查閱等方式蒐集資料,確立護理問題有健康維護能力改變、心輸出量減少、焦慮。藉由共同討論自我照顧學習計畫,重建健康生活型態;教導罹患冠狀 動脈疾病後正確的照護及心肺復健運動計畫介入,維護現存的心肺功能;以傾聽、鼓勵使個案宣洩負向情緒,主動召開跨專業領域會議,規劃出院返家後的各項事 宜,及引導重要家人照護,緩解焦慮的情緒。毛毛樣腦血管症屬罕見疾病,醫療團隊在鮮少有例可循,又無實際照護經驗之下,能有足夠的訊息討論如何提供最適切 的照護,是一大困難;而後續返家照護僅只能由電訪了解及關心,這是在照顧個案時,所感到的限制,因此建議,醫院可成立罕見疾病的個案管理師及資料庫,協助 居家訪視且定期召開團隊的討論會,將獨特疾病案例完整建構,以提供往後臨床護理同仁,照護此類個案有足夠的訊息,提供最適當的照顧。盼藉此經驗可作為未來 照護此類病人之參考。\u0000 This paper explores a nursing experience with a patient diagnosed with Moyamoya disease associated with coronary artery disease for the first time. The patient’s medical state was measured using Gordon‘s Functional Health Patterns Assessment between Feb. 28 and Mar. 11, 2019. This assessment, coupled with data collection using observation, conversation, physical examination, and medical history, helped to identify the patient’s health issues that required the nursing staff’s special attention: a compromised self-care ability, decreased cardiac output, and symptoms of anxiety. By discussing the self-care learning plan with the patient, the nursing team helped the patient to re-create a healthy lifestyle. The patient was also taught about a good self-care routine to manage his coronary artery disease, and was urged to engage in a cardiac rehabilitation program, so as to prevent her heart and lungs from deterioration. The nursing staff listened closely to the patient’s complaints, so she could let her negative emotions out. A cross-field meeting was convened, so as to pre-arrange everything that should be prepared for the patient after she was discharged from hospital, help her immediate family members to take better care of her, and assuage her anxiety. Moyamoya disease is a rare disorder, so there were very few examples to be followed. Hence it was a big challenge to decide how to provide the most appropriate care to the patient as the nursing team did not have actual care expe- rience and lacked sufficient information regarding this area. Another limitation arose when nurses could only check her conditions via phone calls after she was discharged from hospital. For that reason, it is advisable to recruit rare disease case managers and create a database, in order to help with paying home visits and convening discussion meetings on a regular basis. In so doing, cases of rare diseases can be more completely compiled, so clinical nursing staff will have sufficient information in this regard, and will be able to offer the best possible care to their patients. This nursing experience is hereby shared and serves as a reference for clinical practices.\u0000 \u0000","PeriodicalId":314615,"journal":{"name":"秀傳醫學雜誌","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134634584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
降低自備藥給藥異常發生率之方案 降低自备药给药异常发生率之方案
Pub Date : 2022-06-01 DOI: 10.53106/156104972022062101002
廖玲嬋 廖玲嬋
目的:自備藥給藥異常是常見的問題,透過品管圈來解決這個棘手的問題,期望達成有效改善。方法:分析 2018 年 6 月的統計數據,發現自備藥給藥異常發生率為 63.3%,故成立 品管圈。檢視其原因,以柏拉圖驗證後發現「藥師未即時評估」、「自備藥物標示不清」為問題要因,據此擬定對策措施,並利用 Plan-Do-Check-Action 手法進行對策檢討和效果確認。結果:對策實施後,自備藥給藥異常發生率由改善前 63.3%,下降至 28.6%(目標值為 37.1%),目標達成率為 132.4%、進步率為 54.8%,顯示運用品管圈的 改善方法效果良好。結論:利用品管圈手法,改善自備藥審查流程,除降低給藥異常發生率、提升藥師滿意度外,推動小組在品管手法運用、活動信心方面,亦有顯著進步。 Objectives: The incidence of adverse medication events with self-prepared medicines is a common problem in routine clinical practice. This study investigates the effi- cacy of a quality control circle (QCC) to decrease the incidence.Methods: Data for June 2018 were analyzed, and the results revealed a delay rate of 63.3%. Thus, a QCC was established to decrease the rate .Through Pareto analysis, the QCC identified that “no immediate assessment by pharmacists” and “unclear labeling of self-prepared medicines” were the root causes of damage. Accordingly, the QCC formulated solutions, which were subsequently verified by the Plan–Do–Check–Action.Results: After the implementation of the countermeasures, the incidence decreased from 63.3% to 28.6% (the target value was 37.1% ). The goal achievement was 132.4%, and progress was 54.8%. The findings showed the use of QCC works well.Conclusion: This program can help our hospital to improve self-prepared medical reviews. It reduces the incidence of adverse medication events with self- prepared medicines and enhances pharmacists’ satisfaction. Therefore, this program is a useful strategy to improve medical management. 
目的:自备药给药异常是常见的问题,透过品管圈来解决这个棘手的问题,期望达成有效改善。方法:分析 2018 年 6 月的统计数据,发现自备药给药异常发生率为 63.3%,故成立 品管圈。检视其原因,以柏拉图验证后发现「药师未即时评估」、「自备药物标示不清」为问题要因,据此拟定对策措施,并利用 Plan-Do-Check-Action 手法进行对策检讨和效果确认。结果:对策实施后,自备药给药异常发生率由改善前 63.3%,下降至 28.6%(目标值为 37.1%),目标达成率为 132.4%、进步率为 54.8%,显示运用品管圈的 改善方法效果良好。结论:利用品管圈手法,改善自备药审查流程,除降低给药异常发生率、提升药师满意度外,推动小组在品管手法运用、活动信心方面,亦有显著进步。 Objectives: The incidence of adverse medication events with self-prepared medicines is a common problem in routine clinical practice. This study investigates the effi- cacy of a quality control circle (QCC) to decrease the incidence.Methods: Data for June 2018 were analyzed, and the results revealed a delay rate of 63.3%. Thus, a QCC was established to decrease the rate .Through Pareto analysis, the QCC identified that “no immediate assessment by pharmacists” and “unclear labeling of self-prepared medicines” were the root causes of damage. Accordingly, the QCC formulated solutions, which were subsequently verified by the Plan–Do–Check–Action.Results: After the implementation of the countermeasures, the incidence decreased from 63.3% to 28.6% (the target value was 37.1% ). The goal achievement was 132.4%, and progress was 54.8%. The findings showed the use of QCC works well.Conclusion: This program can help our hospital to improve self-prepared medical reviews. It reduces the incidence of adverse medication events with self- prepared medicines and enhances pharmacists’ satisfaction. Therefore, this program is a useful strategy to improve medical management.
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