護理介入措施於兒童加護病房會客期間家屬滿意度之成效探討

Effects of the Nursing Interventions on the Family Satisfaction during the Visitation in Pediatric Intensive Care Unit

陳首珍(Shou-Chen Chen)

指導教授 ： 高碧霞

國立臺灣大學/醫學院/護理學研究所/碩士(2006年)

https://doi.org/10.6342/NTU.2006.00368

摘要

本研究旨在瞭解兒童加護病房病童家屬的會客需求以及進行護理介入措施後對於提升家屬滿意度之成效。採類實驗設計之前後測實驗設計方式進行，以立意取樣選取北部某醫學中心初次住進兒童加護病房之病童家屬為對象，並以該收案場所之護理人員為對象進行護理介入措施，探討經由介入措施的執行對於增進兒童加護病房會客期間病童家屬滿意度之成效，共收集對照組與實驗組各30位個案，先進行對照組個案收集，實驗組個案收集則於介入措施完成後開始進行。將所收集之資料以SPSS 11.0 for Windows及StatXact 4.0 統計軟體進行描述性與推論性統計分析，研究結果如下：
一、病童家屬認為會客期間需求最重要的前五項分別為：1.會客期間負責照顧孩子的主護護士會主動告訴我關於孩子目前的情況；2.能知道孩子此次疾病可能出現的合併症；3.當孩子情況有變化時，護士知道用什麼方式可以立即聯絡到我；4.護士可以教導我關於孩子未來轉到病房及回家後的照顧技巧；5.會客時能與照顧孩子的醫師談話，以瞭解孩子的病情、檢查與治療結果。
二、對照組病童家屬於會客期間之滿意度後測得分較前測得分低，並具統計上之顯著意義，顯示病童家屬之滿意度並未隨住加護病房天數增加而提高；相對的，實驗組病童家屬於會客期間之滿意度後測得分較前測得分為高，顯示經由針對護理人員進行介入措施，能有效提升病童家屬於會客期間之服務滿意度。
三、病童家屬於會客期間之需求與其滿意度有顯著正相關。
本研究結果可幫助護理人員對於病童家屬於會客期間之需求有更清楚的瞭解，於會客期間計畫各項護理服務時有方向可循，將病童家庭涵蓋於護理計畫中，與家屬共同規劃病童之照護內容，落實以家庭為中心之護理，提供符合病童及其家庭需求之獨特性照護服務。介入方案執行之經驗，能作為日後規劃護理人員在職教育及相關護理研究設計之參考。

關鍵字

會客期間 ； 家屬滿意度 ； 介入措施

並列摘要

This research involved quasi-experimental design and sampling method to explore the effects of the nursing interventions on the family satisfaction during the visits in pediatric intensive care unit. Sixty families were chosen who had children first admitted to a pediatric intensive care unit at a medical center of northern Taiwan. Thirty subjects were recruited as the control group and thirty as experimental group. Nursing intervention was implemented for nurses in the pediatric intensive care unit after the data were collected in the control group. Then data were collected in the experimental group. A structured questionnaire study was used and data were analyzed by SPSS 11.0 for Windows and StatXact 4.0.
The results of this study are described as followings:
1. The top five needs of family are: (1) While visitation, primary nurse explains the condition of children actively. (2) I could know the complications of my child. (3) When the condition changed, nurses will notice us as soon as possible. (4) Nurses will teach me the knowledge and skills of caring my child while transfer to the ward and go back home. (5) While the visiting time, I can talk to the doctor and get information of my child.
2. There were significant different satisfactions between two groups. Post score of satisfaction was less than pre-score in the control group. That is the family’s satisfaction did not increase during hospitalization, the result of experimental group was elevated. It showed after accepted training of nursing intervention principle, the intervention which nurses provided elevated family’s satisfaction effectively.
3. There were highly positive relationship between visiting needs and satisfaction.
The findings of this study can facilitate nurses to have better understanding about family’s needs. It provides a direction while nurses are planning interventions.

並列關鍵字

visitation ； family satisfaction ； intervention

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