本研究目的在探討不同護理衛教方式對手術病人使用自控式止痛之成效。研究採類實驗設計,對象為南部某區域教學醫院骨科病房,實驗及對照組各收集60人,兩組病人在手術前一天收案基本資料、自控式止痛(PCA)知識量表及簡易疼痛量表。實驗組給予觀看PCA多媒體衛教光碟,對照組則接受書面單張衛教,手術後第三天針對不同護理衛教組別進行後測。結果顯示觀看護理指導衛教光碟比書面護理衛教對病人使用PCA知識有顯著性的增加(t=2.67,p< .01),滿意度較高(p< .001)。本研究結果顯示衛教光碟護理指導對骨科病人使用自控式止痛知識有顯著學習成效,可提供臨床護理人員衛教及相關研究參考使用。
This study examined the efficacy of different nursing interventions for teaching patients about patient-controlled analgesia (PCA). We employed a quasi-experimental design and convenience sampling. The patients in the orthopedic ward of the Southern Taiwan Teaching Regional Center were divided into an experimental group (n = 60) and control group (n = 60). Before surgery, we collected data including patients' demographics, PCA knowledge, and pain. The experimental group watched a PCA-related multimedia disc, and the control group received PCA-related written educational materials. On the third day after surgery, we collected posttest data. The results revealed that the experimental group had a higher level of knowledge regarding PCA than the control group (t = - 3.06, p < .01) and a higher degree of satisfaction (p < .001). In conclusion, orthopedic patients who received information regarding PCA through the multimedia disc had significantly more favorable learning outcomes. Multimedia discs should thus be considered for providing healthcare education in clinical nursing practice and research.