糖尿病人足部傷口照護不同衛教模式之比較

Comparison of Educational Models in Caring the Feet of Skin Lesion of Diabetic Patients in a Medical Center

徐敏芬(Min-Feen Hsu) ； 楊秀月(Hseu-Yueh Yang) ； 許秀月(Hsiu-Yueh Hsu)

《榮總護理》 27卷1期 (2010/03) Pp. 65-72

https://doi.org/10.6142/VGHN.27.1.65

摘要

本研究旨在比較醫院糖尿病人足部傷口照護，其不同衛教模式（衛教光碟配合回覆示教或衛教單張配合口頭說明）對其傷口照護行為之正確性以及護理人員臨床衛教時間之差異情形。評價設計採實驗研究之二組前後測單盲設計，符合收案條件之樣本經隨機分派為2組，每組各30人。病人或主要照顧者傷口照護行為之正確性係由護理人員觀察評分並記錄於「糖尿病人足部傷口照護正確性觀察紀錄表」，收集之資料以SPSS 13.0版本統計軟體進行資料分析整理。研究結果顯示，在傷口照護行為之正確性方面，實驗組及對照組皆能達到89.86%之正確性，即二種教學方法成效一樣佳；在護理人員臨床衛教時間方面，實驗組較對照組平均每位病人節省10.40分鐘，且達顯著性差異。故本研究建議在教材方面應以衛教光碟取代衛教單張；在教法方面應強調回覆示教後由護理人員從旁協助指正鼓勵病人或家屬出院前多執行操作部份，以取代過去只聽從一位護理人員講授為主、操作為輔之方式。

關鍵字

糖尿病足 ； 傷口照護 ； 自我照顧行為 ； 衛生教育

並列摘要

The purpose of this study was to compare the correlation among different education models (educational CD-ROM and oral education versus educational sheet and oral education), clinical nursing staff education time and appropriate patients' wound care behavior. Methods: 60 cases were collected and these patients were randomly assigned to two groups (study group and control group). The study was proceed by single blind method. Wound care behavior was evaluated and recorded by clinical staff using ”Correct Diabetic Foot Wound Care Evaluating Chart”. The data was analyzed by SPSS 13.0. Results: The data of this study revealed that the percentage of appropriate wound care behavior in both groups were equal (89.86%). This meant that both education models were equally effective. For education duration between these two groups, the study group saved up to 10.4 minutes, which was significantly different from the control group. Conclusion: From this study, we suggested that traditional wound care education method should be replaced by CD-ROM and oral education. Repeated demonstrations by clinical nursing staff and practices by patients themselves or their family can achieve better results.

並列關鍵字

DM foot ； wound care ； self-care ； health education