骨科手術病人資訊需求與資訊獲得之探討--中部某區域醫院為例

Surgical information demand and received of orthopedics patients: A case study of a mid-Taiwan metropolitan hospital

蕭雅芳(HSIAO YA FANG)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

中文摘要
本研究目的在於瞭解骨科住院手術病人對手術資訊需求重視度與資訊需求獲得滿意程度，採立意取樣法，對象為中部某區域教學醫院，年滿18歲以上接受骨科脊椎、人工膝關節、人工髖關節與骨折復位手術之病人，共231位。以自擬結構式問卷為研究工具，以Likert五分法計分，分數越高代表對手術資訊需求重視度與滿意度愈高。資料以描述性統計、T檢定、單因子變異述分析及商機演算法進行分析。結果顯示：1.骨科手術病人，其整體手術資訊需求重視程度介於「重視」與 「很重視」之間（平均3.98分），其中資訊需求重視度以「手術過程細節」範疇最高，最不重視則為「手術室環境」範疇；而整體手術資訊需求滿意程度介於「滿意」與「很滿意」之間（平均3.80分），以「手術後症狀」範疇滿意度最高，最不滿意為「手術室環境」範疇。2.手術資訊需求重視度與滿意度之影響因素中，有顯著相關者，在需求重視度方面，包括年齡、婚姻狀況與教育程度等；而資訊需求獲得滿意度方面僅有婚姻狀況。3.研究得知骨科手術病人最希望醫護人員能加強在「教導傷口照護」、「手術之併發症」與「麻醉可能之副作用與併發症」方面告知與說明相關資訊，此三項即為商機演算法中，「最富潛力」之商機變項。本研究結果可以作為骨科手術病人照護之參考。
關鍵字：手術病人、資訊需求、資訊獲得

關鍵字

手術病人 ； 資訊需求 ； 資訊獲得

並列摘要

Abstract
The objective of this study was to understand orthopedic surgery hospitalized patients’ satisfaction in the importance of surgery information and information needs. The research method was judgment sampling; research objects were patients whom were over age 18 and have had rachis, total knee arthroplasty, hip prosthesis, and fracture reduction in a teaching hospital in central Taiwan, 231 samples was gathered. Self-made structured questionnaire was used as research tool; and five-point Likert scale was used, in which higher score means higher satisfactions. The data were analyzed with descriptive analysis, T-test, one-way ANOVA and opportunity algorithm.
The results demonstrated that: (a) The orthopedic surgery patients’ importance in overall surgery information needs was between “important” and “very important” (with average 3.95), in which “surgery process detail” got the higher score and “operating room environment” got the lowest score. (b) In all affective factors of importance of surgery information needs, the relevant factors are as followed: age, marital status, and educational background are relevant to importance in needs and marital status is only relevant in information needs. (c) From this research, we understand that patients would like hospital personals to improve their instruction and notification in "guidance of wound care”, “surgery complication” and “possible side effect and complication of anesthesia”. These three items were with most potential in opportunity variables. The result of this research could be use as reference material in taking care of orthopedic surgery patients.
Keywords: surgery patients, information needs, information obtain

並列關鍵字

surgery patients ； information needs ； information obtain

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