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Effectiveness of Interactive Multimedia CD on Self-Care and Powerlessness in Hemodialysis Patients

運用多媒體互動式光碟改善血液透析患者自我照顧及無力感之成效

摘要


Background: Hemodialysis (HD) patients have low self-care knowledge, poor self-care behavior, and powerlessness. Purpose: The authors designed this study to, first, understand the current state of first-year HD patients' self-care knowledge, self-care behavior, and powerlessness and, second, assess the effectiveness of an interactive multimedia CD educational intervention. Method: A quasi-experimental, repeated measures design, with intervention and comparison groups, was used. All subjects for this study were recruited from six dialysis centers in southern Taiwan. The three points for outcome testing included baseline, 4 weeks, and 8 weeks. Research tools included an HD self-care knowledge questionnaire, an HD self-care behavioral questionnaire, a powerlessness questionnaire, and an interactive multimedia CD. Results: Results found that participants possessed insufficient knowledge, were incapable of completely achieving or comprehending routine self-care, and were affected by powerlessness. The interactive multimedia CD intervention effectively enhanced self-care knowledge (p<.000) and self-care behavior (p<.000) and improved powerlessness (p<.000). Positive results persisted well after the conclusion of the intervention. Conclusions/Implications for Practice: Participants in the intervention group had better self-care knowledge and behaviors and feeling of control over their lives than those in the control group. This illustrates the positive effects of the interactive multimedia CD. Results demonstrate the potential benefits of using the interactive multimedia CD with elderly patients in HD and nursing practice education.

並列摘要


Background: Hemodialysis (HD) patients have low self-care knowledge, poor self-care behavior, and powerlessness. Purpose: The authors designed this study to, first, understand the current state of first-year HD patients' self-care knowledge, self-care behavior, and powerlessness and, second, assess the effectiveness of an interactive multimedia CD educational intervention. Method: A quasi-experimental, repeated measures design, with intervention and comparison groups, was used. All subjects for this study were recruited from six dialysis centers in southern Taiwan. The three points for outcome testing included baseline, 4 weeks, and 8 weeks. Research tools included an HD self-care knowledge questionnaire, an HD self-care behavioral questionnaire, a powerlessness questionnaire, and an interactive multimedia CD. Results: Results found that participants possessed insufficient knowledge, were incapable of completely achieving or comprehending routine self-care, and were affected by powerlessness. The interactive multimedia CD intervention effectively enhanced self-care knowledge (p<.000) and self-care behavior (p<.000) and improved powerlessness (p<.000). Positive results persisted well after the conclusion of the intervention. Conclusions/Implications for Practice: Participants in the intervention group had better self-care knowledge and behaviors and feeling of control over their lives than those in the control group. This illustrates the positive effects of the interactive multimedia CD. Results demonstrate the potential benefits of using the interactive multimedia CD with elderly patients in HD and nursing practice education.

參考文獻


Allgot, B.(2001).Empowerment and how it can be implemented:The role of diabetes associations.Diabetes Voice.46(September),48-51.
Badzek, L.,Hines, S. C.,Moss, A. H.(1998).Inadequate self-care knowledge among elderly hemodialysis patients: Assessing its prevalence and potential causes.Journal of American Nephrology of Nurses Association.25(3),293-300.
Bayliss,E.A.,Steiner, J. F.,Fernald, D. H.,Crane, L. A.,Main, D. S.(2003).Descriptions of barriers to self-care by persons with comorbid chronic diseases.Annals of Family Medicine.1(1),15-21.
Benjamin, D.(1996).Powerlessness in chronic illness.Prairie Rose.65(4),9a-10a.
Brown, F.(1997).Patient empowerment through education.Professional Nurse Supplement.13(3),54-56.

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