教育對操作密閉式抽痰管認知之成效

Effect of Education on Closed Suction System

周惠玲(Hui- Ling Chou) ； 林鳳卿(Feng Ching Lin) ； 鄭之勛(Jih-Shuin Jerng) ； 阮聖元(Sheng-Yuan Ruan) ； 吳惠東(Huey-Dong Wu)

《醫療品質》 7卷2期 (2018/12) Pp. 18-38

https://doi.org/10.29759/THQA.201812_7(2).0002

摘要

目的：本研究主要目的為探討教育對護理人員於密閉式抽痰系統（closed suction system；CSS）位置不正確時，其所潛藏之危險及警訊的認知偏差是否具正向的影響。研究對象及方法：本研究為一介入性研究，介入時間自2015年6月15日至2017年6月30日，選取台北市某醫學中心之成人內科加護單位護理人員為研究對象，期間共有105位護理人員接受教育，人員皆為女性，年齡21－41歲，教育程度均為大學以上，在內科加護單位工作年資大於5年以上佔68.5％，96.8％經加護訓練並取得證書，皆使用過CSS。介入方式為投影片文字暨圖解講述授課，授課後進行實體設備模擬示範操作，衡量介入成效的工具採自擬式問卷評量表衡量。所得資料收集後利用統計軟體分析SPSS 18.0版進行，以Mann-Whitney test、Kruskal-Wallis test、Wilcoxon符號等級檢定進行推論性統計分析。比較護理人員在教育前、後對CSS其所潛藏之危險及警訊的認知程度是否具正向的影響。結果：研究顯示護理人員「使用密閉式抽痰管的安全」教育前測平均85分（IQR, 65－100），後測平均100分（IQR, 100－100），結果顯示經教育後分數平均增加15分；Wilcoxon符號等級檢定顯示教育前、後護理人員對CSS的認知有顯著的差異（p＜.001），我們的研究結果支持教育可改善護理人員對操作CSS的認知，具正向顯著的意義。

關鍵字

密閉式抽痰系統 ； 病人安全 ； 教育

並列摘要

Objective: The purpose of this study was to investigate whether educational training could improve the nursing staff's cognition about the risk of closed suction system (CSS) used in patients at the intensive care units. Methods: This interventional study was performed at a university-affiliated medical center from June, 2015 to June 30, 2017. During the period, the nursing staff participated in an educational program aiming at improving the cognition about the risk and proper management of patients with the CSS. We provided learning including slides, simulation and demonstration for the operation of CSS and case sharing. Measurement of the effectiveness included a structured questionnaire. After the data were collected, the Wilcoxon sign was used to analyze whether the degree of cognitive was improved for the cognition about CSS precautions, comparing the data before and after the educational training. Results: The responders were all female, aged 21-41 years, with 68.5% having an educational level of college or higher, and 96.8% having working experience of at least 5 years in medical care units. Of them, 96.8% have received complete training and obtained certificates. The average score before educating was 85 points (IQR, 65-100), and the average score after educating was 100 points (IQR, 100-100) (p＜0.001). Conclusion: The results of our study support that education can improve the cognitive bias of the caregivers on the operation of CSS, with a significant improvement.

並列關鍵字

closed suction system ； patient safety ； operation education