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系統性個別護理指導方案對裝置永久性心律調節器病患自我照顧知識、態度及行為之成效

The Effectiveness of a Systematic Patient Education Intervention on Knowledge, Attitudes and Behavior about Self Care in Patients with Permanent Pacemakers

摘要


Objectives: Although a permanent pacemaker (PPM) is the treatment of choice for patients with symptomatic bradycardia, little is understood about the effectiveness of a patient education intervention for this population. Methods: A quasi-experimental design was utilized to determine the effects of a systematic patient education intervention on PPM self-care knowledge, attitudes and behavior among patients with permanent pacemakers. Two groups were randomly assigned interventions: the PPM education group (n=37), received one-on-one lessons, and the control group (n=35), received usual care on the ward. Pre-test data were collected one day before implantation of the PPM, while post-test of questionnaires that includes PPM self-care knowledge, attitudes and behaviors were collected one week after discharge. The intervention effect was evaluated using one way analysis of covariance (ANCOVA). Results: A systematic patient education intervention significantly increased patients' self-care knowledge (F=16.99; p<0.001). Improvement was also observed in self-care attitudes and behavior but the differences were not statistically significant. Conclusions: Systematic patient education intervention can significantly increase patients' self-care knowledge about PPMs. Instructional materials can be provided to support patient education in clinical settings.

並列摘要


Objectives: Although a permanent pacemaker (PPM) is the treatment of choice for patients with symptomatic bradycardia, little is understood about the effectiveness of a patient education intervention for this population. Methods: A quasi-experimental design was utilized to determine the effects of a systematic patient education intervention on PPM self-care knowledge, attitudes and behavior among patients with permanent pacemakers. Two groups were randomly assigned interventions: the PPM education group (n=37), received one-on-one lessons, and the control group (n=35), received usual care on the ward. Pre-test data were collected one day before implantation of the PPM, while post-test of questionnaires that includes PPM self-care knowledge, attitudes and behaviors were collected one week after discharge. The intervention effect was evaluated using one way analysis of covariance (ANCOVA). Results: A systematic patient education intervention significantly increased patients' self-care knowledge (F=16.99; p<0.001). Improvement was also observed in self-care attitudes and behavior but the differences were not statistically significant. Conclusions: Systematic patient education intervention can significantly increase patients' self-care knowledge about PPMs. Instructional materials can be provided to support patient education in clinical settings.

參考文獻


何秀玉、馬鳳歧、郭英調、江志桓:心律調節器病 患身心社會調適及其相關因素之探討。護理雜誌 2003;50:22-32。doi:10.6224/JN.50.6.22。 Ho HY, Ma FC, Kuo BIT, Kong CW. Bio-psychosocial adjustment and associated factors in pacemaker patients. J Nurs 2003;50:22-32. doi:10.6224/ JN.50.6.22. [In Chinese: English abstract]
Boyle J, Rost MK. Present status of cardiac pacing: a nursing perspective. Crit Care Nurs Q 2000;23:1-19; quiz 81. doi:10.1097/00002727-200005000-00002.
Kaszala K, Kalahasty G, Ellenbogen KA. Cardiac pacing in the elderly. Am J Geriatr Cardiol 2006;15:77- 81. doi:10.1111/j.1076-7460.2006.04817.x.
Sheppard BH, Hartwick J, Warshaw PR. The theory of reasoned action: a meta-analysis of past research with recommendations for modifications and future research. J Consum Res 1988;15:325-43. doi:10.1086/209170.
Birnie D, Williams K, Guo A, et al. Reasons for escalating pacemaker implants. Am J Cardiol 2006;98:93-7. doi:10.1016/j.amjcard.2006.01.069.

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