自然照護技術於臥床病人主照顧者知識、技能、態度成效探討

The Effects of Natural Body Movement and Patient Handling Technique in Primary Caregivers of Patients with Bedridden on Knowledge, Skills, Attitude

孫宗慧(Chumg-Hui Sun) ； 許淑敏(Shwu-Miin Hsu) ； 林碧莉(Pi-Li Lin) ； 賈佩芳(Pei-Fang Chia)

《長期照護雜誌》 25卷1期 (2022/12) Pp. 37-53

https://doi.org/10.6317/LTC.202212_25(1).0004

摘要

背景：「自然照護技術」是一種不拖移、不拖拉的擺移位技術，運用身體自然的姿勢與力量，輕鬆完成翻身及移位的動作，國內尚未有針對此照護衛教之介入研究。目的：探討「自然照護技術」於臥床病人其主照顧者擺移位知識、技能及態度之成效。方法：採類實驗設計，以方便取樣，選取某醫院附設居家護理所其符合收案條件之臥床病人及其主照顧者，分為實驗組（自然照護技術教學）及對照組（衛教單張教學），每組各30位，以自擬的問卷量表收集前測資料，介入後立即第一次後測，再隔4週後，進行第二次後測。以描述性、推論性統計及重複測量單因子相依變異數分析進行統計分析。結果：研究結果發現，「自然照護技術」於臥床病人主照顧者，其執行病人擺位移位知識、技能、態度進步程度，優於對照組只接受衛教單張口頭說明教學擺位移位，達顯著差異（p＜0.05）。分析主要原因實驗組「接受自然照護技術多媒體學習光碟-含示範演練及回覆示教」，可以強化主照顧者視覺的注意力，配合示範演練及回覆示教，有助於記憶及學習成效。結論：自然照護技術介入對主照顧者擺移位知識、技能及態度有顯著成效，未來能務實推廣自然照護技術之教導，提升照顧者照顧知能，達到更優質的健康照護服務。

關鍵字

自然照護技術 ； 臥床病人 ； 主照顧者

並列摘要

Background:"Natural body movement and Patient Handling Technique" is a non-dragging and non-shifting technique that uses body natural posture and strength to easily complete the tasks of moving or turning over a patient. There is not yet an interventional study on this care and health education in the nation. Aim: Discussion on the positioning knowledge, skills, and attitude of the primary caregiver with the "Natural body movement and Patient Handling technique", to helping caring for bedridden patients. Methods: Adopting the quasi-experimental design to facilitate sampling, and selecting the bedfast patients and their primary caregivers who meet the conditions in a home care unit, and divide them into an experimental group (Natural body movement and Patient Handling technique used multimedia learning with CD-Containing that help demonstration drills and teach back), and a control group (health education leaflet), 30 persons in each group, collected pre-test data with a self-developed questionnaire, the first post-test is done immediately after the intervention, and the second post-test is done after another 4 weeks. Statistical analysis is carried out by descriptive and inferential statistics and repeated measures single-factor dependent variance analysis. Results: The study comes to a significant difference (p<0.05) that the " Natural body movement and Patient Handling technique used multimedia learning with CD-Containing that help demonstration drills and teach back " by the main caregiver of bedfast patients had better knowledge, skills, and attitudes in performing patient positioning than the control group who only received oral instructions from the health education leaflet. The main reason that the experimental group is better the learner. Because this can strengthen the main caregiver's visual attention. It also help caregiver to cooperate with the demonstration drills and teach-back lesson. It thus helps in memorizing and learning this skill. Conclusion: The intervention of natural care technique has a significant effect on the knowledge, skills, and attitudes of primary caregivers. In the future, we can pragmatically promote the teaching of Natural body movement and Patient Handling Technique, improve the caring knowledge and skills of caregivers, and achieve better health care services.

並列關鍵字

Natural body movement and Patient Handing Technique ； bedridden patients ； primary caregiver

參考文獻

許郁姍、蕭佳莉、陳淑芳（2018）。一位長期臥床失智症病人及其外籍看護工之護理經驗。高雄護理雜誌，35（1），104-115。https://doi.org/10.6692/KJN.201804_35（1）.0009

侯淑英、張瓊文、謝生蘭（2014）。提升主要照顧者執行居家全靜脈營養照護之正確率。護理雜誌，61（2），33-40。https://doi. org/10.6224/jn.61.2S.33

郭外天、張瀞仁（2014）。安全照護之國際趨勢：「No-Lift Policy」不徒手搬運病患規範。長期照護雜誌，18（1），29-39。http://doi.org/10.6317/LTC.18.29

郭伊婷、曾慈敏、孫靜芸、許雅芬、黃小萍、蔣玉滿（2017）。提升兒科加護病房護理人員執行復健擺位正確率專案。長庚護理 ， 28 （ 1 ）， 72-84 。 http://doi.org /10.3966/102673012017032801007

曹文昱、葉麗月、陳玉如、洪弘昌、許美玉（2019）。壓瘡病人主要照顧者居家傷口照護資訊需求探討。福祉科技與服務管理學刊，7（1），441-450。http://doi.org /10.6283/JOCSG.201903_7（1）.441