衛教對剖腹術患者其術前焦慮及護理满意度之成效探討

Implementing an Intervention Strategy for Education to Alleviate Preoperative Anxiety and Increase Nursing Satisfaction Associated with Laparotomy

鍾玉珠(Yu-Chu Chung) ； 吕淑芬(Shu-Fen Lu)

《新臺北護理期刊》 6卷2期 (2004/08) Pp. 63-72

https://doi.org/10.6540/NTJN.2004.2.006

摘要

本研究目的是在手術前给予结構性衛教改善剖腹術患者術前焦慮及護理满意度之成效探討，研究採前後測類實验法，以立意取樣選樣法，依入院先後次序分成控制組30人舆實驗组30人，對象爲接受剖腹術患者，控制组接受病房常规性照護，實驗组於手術前一天即開始接受结構性衛教，重複衛教三次，於手術前一小時及出院當天時間收集資料。研究工具包括焦虑量表、焦虑0-10数字量表及護理满意度量表。研究结果顯示兩组同質性高，於術前皆经歷輕度焦慮，但實驗组之術前焦慮改善及護理满意度提升皆較控制组多，且衛教俊之術前焦虑越低者其護理满意度越高，均達顯著差異，本研究结果指出護理人員應提供结構性衛教策略以降低手術前焦慮、提升護理满意度及醫療品質。

關鍵字

结構性衛教 ； 剖腹術 ； 術前焦慮 ； 護理满意度

並列摘要

The purpose of this study was to explore implementing structured education to alleviate preoperative anxiety and increase nursing satisfaction associated with laparotomy. A pretest-posttest quasi-experimental research design was used in this study. Sixty samples that received laparotomy were randomly assigned to either the control (unstructured, n=30) or experimental (structured, n=30) education programs. The control group had to receive repeated education three times. The following research instruments were used to measure the variables in this study: Hospital Anxiety and Depression Scale (HADS), visual analog scales (VAS), and a satisfaction questionnaire. The results indicated: the two groups were homogenized and experienced mild levels of anxiety during the preoperative day. The treatment group had significantly less preoperative anxiety (p＜0.01), higher satisfaction (p＜0.001), less preoperative, post-education anxiety, and had better nursing satisfaction. The results suggest that the health care profession should provide structured education strategies aimed at diminishing preoperative anxiety, increasing satisfaction, and increasing the quality of medical care.

並列關鍵字

structure education ； preoperative anxiety ； satisfaction ； laparotomy