提升居家護理個案壓瘡傷口癒合率

Promoting the Healing Rates of Pressure Ulcers for Home-care Recipients

居家護理是長期照護的服務模式之一，壓瘡是居家個案常見照護問題，本所2012年10月至2013年3月統計個案壓瘡傷口癒合率12.69％，近三分之一個案壓瘡傷口超過一年未癒合，調查發現與外籍看護工的壓瘡照護技能不足有關，透過團隊力量改善此問題。經討論預設壓瘡傷口癒合率19.03％，設立改善策略：一、舉辦壓瘡照護在職教育；二、制訂每月查檢表；三、製作雙語溝通圖冊；四、修訂壓瘡照護衛教單張；五、連結社區資源，促使壓瘡個案獲得完善照護。2013年10月統計壓瘡傷口癒合率提升至42.3％，能有效解決此問題，並分享壓瘡傷口照護成功經驗。建議將社區醫療群併入服務提供者，提供就近及連續性服務，提升個案健康生活品質。

Home care is one of the long term care services, and pressure ulcers are the common health problems among the homecare recipients. The wound healing rate was 12.69% since 0ctober/2012 to March/2013, and nearly one-third recipients with pressure ulcers had poor prognosis that was strongly associated with precise wound care techniques conducted by immigrant home-service workers. After setting up a project team and discussing about the improvement plans, four strategies made up to increase the wound healing rates to 19.03% : (1) held pressure ulcers on-job training class, (2) made checklists on wound care management monthly, (3) made a bilingual communication booklet, (4) revised the contents of education sheets, (5) connected with community resources. As a result, the wound healing rate was 42.3% and suggested that the successful project could being an example to the peers. In the future, ally with community health services to promote the accessibility and continuity of care and achieve quality of life to the elderly.