傷口三角評估法之模擬實作教學成效評估

背景與目的：模擬教學能增進學員的知識、技能及滿意度，傷口評估攸關傷口癒合進展，且傷口三角評估法（Triangle of Wound assessment, TOWA）乃目前新穎並易於使用，故本研究探討運用模擬實作教學模式進行傷口評估與敷料選擇之教學成效及滿意度。研究方法：選取參加工作坊之護理同仁為研究對象，課程目標為(1)提升傷口評估、TOWA評估及敷料選擇認知(2)能正確完成傷口照護步驟及實務技能。藉由豆腐、豬腳及人體模型等教材，模擬傷口滲液情形、特殊部位尾骶骨、焦痂傷口及有深度傷口，以加強學習成效。最後再以「傷口評估與敷料運用認知評量表」、「傷口評估與分組實作查檢表」及「課程滿意度」評估成效與滿意度。結果：共38 位學員，平均年齡32.76±7.50 歲、每日評估及照護傷口時數以1 小時~2 小時59 分居多（28.95%）。在傷口三角評估法與敷料運用認知評量部份，前後測平均得分達統計上的顯著差異（p＜.001），顯示模擬實作教學能提高認知，且全數學員在參與工作坊學習後均能正確執行「傷口評估」及「傷口照護」實作技巧。課程整體滿意度得分為96.74±4.26 分。結論：結果顯示以模擬實作教學可提升認知及學習正確實務操作技能，亦有較高的滿意度。故建議未來類似課程應多以模擬實作教學方式進行，以增進護理人員傷口評估、敷料選擇及傷口照護能力。

關鍵字

模擬教學；傷口評估；傷口三角評估法

並列摘要

Objective: Simulation training has shown a range of effectiveness on learning. Triangle of Wound Assessment (TOWA) is a novel and easily used method for wound assessment which is critical to the progress on wound healing. This study aimed to evaluate the training program with a simulation approach for wound assessment and dressing selection. Methods: Data were from nurse staff who attended a training workshop which aimed to improve the trainees' knowledge and ability of wound assessment, applying TOWA, dressing selection, and carrying out wound care procedures correctively. Materials including tofu, pig trotters and mannequins were used in simulating wound exudate and eschar, deep wound, and wound in the coccyx area. The Wound Assessment and Dressing Selection Knowledge Scale (WADSKS) and Wound Assessment and Grouping Practice Checklist (WAGPC) were used to evaluate learning effects and training satisfaction. Result: A total of 38 nurses with a mean age of 32.76±7.50 year s attended the workshop. Participants who spent 1-3 hours per day in wound care accounted for nearly one third of the sample (28.95%). A significant increase in the WADSKS score showing the effectiveness on improving knowledge of wound assessment and management after the workshop was observed (p ＜ .001). The overall satisfaction for the training was 96.74±4.26. Conclusions: This study demonstrated the effectiveness of the training with a simulation approach on improving nurses' competence in wound management. To enhance the performance of nurses in wound care, accelerate wound healing, and contain medical costs, training courses applying simulation for wound management are suggested.

並列關鍵字

Training program with simulation ； Wound assessment ； Triangle of Wound Assessment

國際替代計量

傷口三角評估法之模擬實作教學成效評估

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