以智慧型床墊監測背部叩擊頻率對肺炎病人照護成效之探討

ASIA unversity > 醫學暨健康學院 > 健康產業管理學系 > 博碩士論文 > Item 310904400/111282

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题名:	以智慧型床墊監測背部叩擊頻率對肺炎病人照護成效之探討
作者:	許惠英
贡献者:	健康產業管理學系長期照護組碩士在職專班
关键词:	智慧型床墊、肺炎病人、扣背頻率、Smart mattress、Pneumonia patient、frequency of percussion
日期:	2018
上传时间:	2018-08-13 06:15:44 (UTC+0)
出版者:	亞洲大學
摘要:	背景:2050年全球有超過半數以上的地區會處於「高齡化社會」，台灣於2025年即將邁入超高齡化人口國家。2016年十大死亡原因中肺炎為死亡率第三名，尤其老年人因肺部疾病有炎症反應，可能導致住院天數延長，增加醫院成本及死亡率。本研究目的為探討以智慧型床墊監測背部叩擊頻率對肺炎病人照護之成效。方法:本研究為類實驗研究設計，以中部某區域教學醫院之機構床位收治由長照機構入院之病人為研究單位，收案條件為長照機構之住民由門、急診收住院的病人，且胸部X光片診斷肺炎的病人共收案60人，以立意取樣方式，分為實驗組及對照組各30人，介入措施為「智慧型床墊監測背部叩擊頻率」對肺炎病人胸部X光變化、住院天數及住院費用成效分析。結果:經智慧型床墊介入監測資料分析結果發現，利用兩組監測胸部X片變項在扣背頻率、住院天數和住院費用分析比較，在胸部X光片有改善和扣背頻率雖未達顯著差異(p﹥0.05)，但在胸部X光片有改善(5.36次/天)較未改善(5.28次/天)的叩背頻率高。另外患者扣背頻率介入與住院天數、住院費用皆有顯著性差異(p<0.05)。結論:本研究發現扣背頻率與肺炎病人胸部X光改善仍有間接相關性，但對患者住院天數、住院費用皆有改善成效，因此建議臨床在人力縮緊情況下，可運用智慧型床墊監控以輔助醫護人員監測病人狀態，以實際臨床偵測數據做為相關醫療體系及長照機構臨床醫護人員參考之依據，以改善肺炎病人之症狀。 Background: More than half of areas in this world will be “aging society” in 2050, and Taiwan will be hyper aged country in 2025. Pneumonia ranks number three among ten leading death causes, especially elder people might stay in hospital longer because of inflammation of lung disease and it would increase cost and dead rate. The purpose of this research is to discuss the efficiency related to frequency of percussion on Pneumonia patient and monitored by smart mattress. Method: This research is based on Quasi-Experimental Design, participants are patients who need long term cares and stay in one of the teaching hospitals in the central part of Taiwan, we totally collected 60 individuals who are diagnosed with Pneumonia by X-ray from OPD and ER and divided them into treatment(30) and control group(30) by purposive sampling; intervention is” frequency of percussion monitored by smart mattress ” to analyze the change on X-ray of Pneumonia patients, length of stays and expenses. Results: We compared and analyzed two sets of X-ray pic with variables including frequency of percussion, length of stays and expenses which are the results monitored by smart mattress. There was no distinct relations between frequency of percussion and improvement(p﹥0.05), but those X-ray showed better improvement(5.36 times/day) had slightly higher frequency of percussion than those X-ray showed less improvement(5.28 times/day). And, as frequency of percussion intervened in length of stays and expense, there were distinct differences happened(p<0.05). Conclusion: We found that the frequency of percussion still had indirect relation with improvement showed on X-ray, and had better improvement in length of stays and expenses. We suggest that the smart mattress could be used when it’s personal shortage and it could assist carers to monitor patients’ situation. These clinical data can also be references for related medical organizations or carers work in long-term care institutions to improve Pneumonia patients’ symptoms.
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