醫院護理人員接受口腔衛生教育介入後對住院病人提供口腔照護知識、態度及行為之成效評估

Effects of Oral Health Education on the Knowledge, Attitudes, and Behavior of Hospital Nurses toward the Ward Patients

高千惠(Chien-Hui Kao) ； 黃祖源(Tzuu-Yuan Huang) ； 黃桂香(Kuei-Hsiang Huang) ； 黃純德(Shun-Te Huang)

《Taiwan Journal of Oral Medicine Sciences》 29卷1期 (2014/04) Pp. 20-34

摘要

本研究是藉由發展適用於護理人員口腔衛生教育的教學計畫活動，並進行口腔衛生教育課程介入，探討介入後醫院護理人員對住院病人提供口腔照護知識、態度及行為之成效。採準實驗性設計選取台南市兩家等級相同之區域教學醫院進行介入與問卷調查。回收問卷以SPSS19.0來進行描述性統計、雙樣本t檢定、卡方檢定、變異數分析，總計完成收案數實驗組146人、對照組104人，於介入後立即測試及三個月後的測試，口腔衛生知識及態度分數都優於前測且高於對照組，皆達統計上的顯著差異（p＜0.05）；口腔衛生行為在刷牙次數、方法、牙刷使用多久皆有明顯進步且高於對照組，而護理人員對住院病人口腔照護行為亦有明顯進步且高於對照組，皆達統計上的顯著差（p＜0.05）。背景資料分析中，進階層級、工作單位、擔任職務、一年內有無接受口腔衛生教育課程和護理人員口腔衛生知識及態度的改變有相關。護理人員的口腔照護知識、態度及行為需不斷的維持及提升，而透過持續性的終身學習，來獲得口腔護理相關知識，是最具效果的。

關鍵字

口腔衛生知識 ； 口腔衛生態度 ； 口腔衛生行為

並列摘要

Background Oral care is an important part of nursing. The main purpose is to help patients maintain their oral hygiene and comfort. Effective oral nursing care can prevent serious infection. This is attributed to their basic nursing training emphasizing less on a patient's oral care. Through a designed intervention oral hygiene teaching curriculum, we hope to emphasize not only the importance of oral nursing care, but also to alter the behavior and attitude of oral care in nursing personnel. Study Objectives The objective of this study is to develop a teaching program in oral hygiene education to establish proper knowledge, attitude, and behavior suitable for nursing personnel. Methods We conducted the study design at two regional teaching hospital in Tainan city of Taiwan. There were 250 subjects in study, separated into two groups. 146 subjects in study group, 104 subjects in control group. Data were analyzed using analysis of variance, followed by least siyni difference post hoc test, using SPSS19.0 soft wave. All results were expressed as means±standard deviation. Results The experimental group showed a higher score immediately after-lecture and after 3 months, as compared to the control group (P＜0.05). Oral hygiene behavior of nursing personnel in frequency and method of tooth brushing, and duration of a toothbrush used scored higher than the control group (P＜0.05).Background analysis found that oral hygiene knowledge and behavior in nursing personnel is related to status, working unit, assumed position, and weather they attended oral hygiene education within the previous year. Conclusion This study showed that oral hygiene education intervention is effective. The designed curriculum can be a reference for hospitals to promote oral hygiene. Oral cleaning and hygiene are a key to eradicate oral bacterial growth of in-patients, and nursing personnel should become a conduit. Therefore, consistent and up to date oral nursing care knowledge, behavior, and attitude to care is needed. The most effective way to learn oral nursing care related knowledge is through persistent life-time learning.

並列關鍵字

oral hygiene knowledge ； oral hygiene attitude ； oral hygiene behavior