神經外科護理人員腦室外引流照護能力之改善

Improvement of Neurosurgery Nurses' Care Ability for the External Ventricular Drainage

古菊梅(Chu-Mei Ku) ； 施春合(Chun-Ho Shih) ； 邱雅玲(Ya-Ring Chiou) ； 林芳如(Fang-Ju Lin) ； 施國正(Kuo-Cheng Shih)

《台灣醫學》 12卷2期 (2008/03) Pp. 152-160

https://doi.org/10.6320/FJM.2008.12(2).02

摘要

External ventricular drainage (EVD) is common and specific in neurosurgery, inappropriate care may usually endanger the patient in high risks of complications, such as increased intracranial pressure, intracranial hemorrhage and infection. Therefore, to provide the patients with perfect care and avoid the complications is the fundamental ability for the neurosurgical nursing staffs. However, some nursing staffs, which are unfamiliar with the care of EVD, may make the patients result in unstable intracranial pressure (such as severe headache, nausea, vomiting etc.) and complicate with central nervous system infection. In this report we provide the questionnaire for knowledge to the care of EVD, evaluation scale of the nursing skill for EVD and questionnaire of nursing care learning experience to 42 neurosurgical nurses. We collect and analyze the data for the care knowledge, skill, learning resource, refresher education and difficulty in clinical care. The results reveal that nursing staffs are not completely familiar with the care knowledge and skill. In order to improve the results, we precede a special case of instruction course and skill operation demonstration to the nurses. The data are analyzed with statistic software SSPS/windows 13.0. And paired t test is used (p＜0.05, significant) for comparison. After the special case intervention, the correct ratio for the nurses' care knowledge rises from 67.2% to 91.4%, SD=19.63 (t=-7.86, p=0.00＜0.05); and the correct ratio for the nurses' skill rises from 59.2% to 94.6%, SD=2.32 (t=-12.71, p=0.00＜0.05), both ratio differences are significant.

關鍵字

腦室外引流照護 ； 認知 ； 技能

並列摘要

External ventricular drainage (EVD) is common and specific in neurosurgery, inappropriate care may usually endanger the patient in high risks of complications, such as increased intracranial pressure, intracranial hemorrhage and infection. Therefore, to provide the patients with perfect care and avoid the complications is the fundamental ability for the neurosurgical nursing staffs. However, some nursing staffs, which are unfamiliar with the care of EVD, may make the patients result in unstable intracranial pressure (such as severe headache, nausea, vomiting etc.) and complicate with central nervous system infection. In this report we provide the questionnaire for knowledge to the care of EVD, evaluation scale of the nursing skill for EVD and questionnaire of nursing care learning experience to 42 neurosurgical nurses. We collect and analyze the data for the care knowledge, skill, learning resource, refresher education and difficulty in clinical care. The results reveal that nursing staffs are not completely familiar with the care knowledge and skill. In order to improve the results, we precede a special case of instruction course and skill operation demonstration to the nurses. The data are analyzed with statistic software SSPS/windows 13.0. And paired t test is used (p＜0.05, significant) for comparison. After the special case intervention, the correct ratio for the nurses' care knowledge rises from 67.2% to 91.4%, SD=19.63 (t=-7.86, p=0.00＜0.05); and the correct ratio for the nurses' skill rises from 59.2% to 94.6%, SD=2.32 (t=-12.71, p=0.00＜0.05), both ratio differences are significant.

並列關鍵字

external ventricular drainage ； knowledge ； skill