背景:台灣人口結構已逐漸朝向高齡化，人口結構與家庭型態已改變，部分老人、慢性疾病患者或身障人士須仰賴外籍看護來提供長期照護，外籍看護的照護技能常影響被照顧者的健康。 目的:本研究主要目的探討多媒體護理指導介入對印尼籍看護知識、技能與自覺學習效果，與病人吸入性肺炎發生率之成效。 方法:本研究設計採類實驗研究法，於中部某地區醫院復健科病房進行研究收案，實驗組共22位，控制組共21位。完成鼻胃管灌食知識及技能前測，實驗組接受多媒體護理指導介入，控制組接受一般常規護理指導介入，施測後完成鼻胃管灌食知識後測及技能第一、三及十四天進行評核，以及施測後自覺學習效果統計，與住院病人肺炎發生率以介入後第三天至出院當天期間均納入。所得資料以SPSS/PC 22.0版進行描述性及推論性統計分析。 結果:實驗組及控制組在接受不同的衛教指導方式後知識、技能及自覺學習效果都具有成效，實驗組在接受多媒體護理指導後知識進步效果優於控制組(p<.001)。技能方面在第一天後測差異值實驗組優於控制組(p<.001)；第三天後測差異值實驗組仍優於控制組(p=.012)；在第十四天差異值則無差異(p=.357)。在自覺學習效果實驗組高於控制組(p=.009)。病人吸入性肺炎之比較兩組則無顯著差異(p=.412)。 結論:研究結果顯示依個別性國籍使用多媒體護理指導，不僅學習吸收效果快，執行正確率也具明顯效果，可作為未來臨床護理人員提供照護之參考。
Background: The population structure of Taiwan has gradually moved towards aging, and the population structure and family type have changed. Some elderly people, people with chronic diseases or people with disabilities have to rely on foreign care to provide long-term care. Foreign caregiver’s skills often affect the patient health and Quite serious. Purpose: The purpose of this study to explore the multimedia care guide intervention in Indonesian nursing knowledge, skills and conscious learning effect, The happen rate of patient with aspiration pneumonia. Methods: In this study, use quasi-experiment methods design. In the central part of the hospital rehabilitation hospital wards to study the case. A total of 22 experimental groups, a total of 21 control group. To complete the knowledge and skills of nasogastric tube feeding, the experimental group received the guidance of multimedia nursing intervention, the control group to accept the general routine care guidance intervention, after the completion of nasogastric tube feeding knowledge and skills with After the test on the first day, the third day and the fourteenth day for evaluation. After the test to consciously study the results of the statistics, After the intervention third day until discharge day recorde the rate of aspiration pneumonia with patient were included. The data were analyzed by SPSS / PC version 22.0 for descriptive and inferential statistical analysis. Results: The results showed that the experimental group and the control group had the effect of knowledge, skills and self - conscious learning after receiving different teaching methods. The experimental group had better progress than the control group after receiving the guidance of multimedia nursing (p <.001) .The third day after the difference in the experimental group is still better than the control group (p = .12). In the fourteenth day of the difference between the experimental group The value is no difference (p = .357). In the conscious learning effect of the experimental group was higher than the control group (p = .009). There was no significant difference between the two groups in patients with aspiration pneumonia (p = .412). Conclusions: The results show that the use of multimedia care in accordance with individual nationality guidance, not only learn to absorb the effect of fast, the implementation of the correct rate has a significant effect, as a future clinical care staff to provide care for reference.