某區域醫院腰椎病變病患穿著背架新舊衛教方案之效果評價

本研究旨在比較新舊衛教模式對腰椎病變患者穿著背架正確性及其衛教時間之差異。評價設計採準實驗研究之兩組時間序列；研究樣本為北市某區域醫院腰椎病變且需穿著背架之住院病患並符合(1)年滿16歲以上，(2)意識清楚且能以國台語溝通，(3)願意參與本研究者，共計50人；其中於民國93年1-3月入院者爲對照組，計25人；93年4-6月入院者爲實驗組，計25人。兩組間之控制變項包括年齡、教育程度、負荷重物的頻率、背痛程度、是否曾學習過穿著背架之方法、住院科別等。新舊衛教模式主要差異爲新模式將穿背架方法以光碟播放，舊模式則由護理人員口述，兩者均強調需回覆示教兩次。研究結果顯示新衛教模式除了護理人員所花的衛教時間顯著較舊模式少（平均每位病患減少8.52分鐘）外，其病患穿背架正確性亦顯著較舊模式之進步幅度大。因此建議護理人員在教導病患正確穿著背架之護理指導可採用光碟教材，以提升效率。

關鍵字

背架；腰椎病變；衛生教育

並列摘要

This research aimed at the comparison of two educational models of putting on back brace for spinal lesion patients. A quasi-experimental study design on two groups of time serials was adopted to evaluate the outcome. The spinal lesion patients in a teaching community hospital were recruited as study subjects by the criteria of: (1) aged 16 and above, (2) consciousness clear and can communicate with language and, (3) being willing to participate in this research. There were 50 subjects recruited as study sample half of them admitted to hospital between Januarys to March were assigned as comparison group; the other half was the experimental group admitted to hospital between April to June, 2004. The main difference of educational intervention between two groups is teaching method, one with laser disk of self learning the other taught by nurses with pamphlets. Both groups emphases on repeated practices after first educational activity. The result of study shows that after controlling for six confounding variables (e.g.: age education, heavy loading frequencies level of back pain ever learning of putting on back brace, diagnosed of neurosurgery patient or not etc), nurses in experimental group spent less time in teaching (average each patient reduce 8.52 minutes), nevertheless, both groups can improve the exactness of putting on back brace (up to 95%). It is highly recommended that laser disc is a helpful teaching material for improving the efficiency.

並列關鍵字

back brace ； spinal lesion ； patient education

國際替代計量

某區域醫院腰椎病變病患穿著背架新舊衛教方案之效果評價

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