術前訊息接收與提供：比較病患與護理人員之觀點

本調查性研究旨在比較病患與護理人員對術前訊息的接收與提供及提供最佳時機之觀點，並探討護理人員認為未給某項術前訊息之原因。選取高雄市一所醫學中心、兩所區域醫院之病人及其照護之護理人員，有效問卷共296份，病人148人，護理人員148人次。研究工具為術前訊息量表（分病患及護理人員版）。研究結果顯示(1)病患及護理人員在心理社會支持及術後情況兩層面的接收或提供約7成達顯著差異，此表示前述兩層面病患和護理人員的觀點多數不相同。(2)兩者勾選最佳的提供時機大多數為“入院至術前”。(3)護理人員認為未給某項術前訊息最常見的原因為“怕給太多，會增加病人焦慮”。建議未來研究在術前訊息提供上，加強心理社會支持之訊息，而術後情況訊息可於術前與病患討論，其想知道的時機及內容，才能在最佳時機滿足病患的術前訊息需求。

關鍵字

術前訊息；訊息接收；訊息提供

並列摘要

Using patient and nurse perspectives, this survey study examined whether patients received adequate preoperative information. At issues were whether information was received or provided before surgery, and whether the information was received or provided in a timely manner. Additionally, this study examined why nurses hesitate to provide adequate preoperative information to patients. The study sample consisted of patients who had undergone surgery and their primary nurse at one medical center and two community hospitals in Kaohsiung. In total, 296 questionnaires were returned complete by 148 patients and 148 nurses. The structured questionnaire was the Preoperative information Scale (patient and nurse versions). For information received and provided, seventy percent of the answers by nurses and patients for questions measuring ”psychosocial support” and ”postoperative situations” differed. Most patients and nurses agree that the period between hospital admission and surgery was the most suitable for providing information. The major reason nurses do not provide preoperative information to patients was a worry that such information would increase patient anxiety. Analytical results highlight the importance of providing psychosocial support. Furthermore, discussing postoperative recovery with patients prior to surgery can increase patient satisfaction.