本研究目的是在探討不同衛教方式對術後病人自控式止痛的認知及滿意度成效,採類實驗性研究設計分析兩組前、後測之研究。研究對象為骨科手術病人且有使用PCA者共120人,所有受測者於手術前一天完成資料收集,包含有基本資料、PCA疼痛認知量表及簡易疼痛量表,並給予實驗組觀看PCA疼痛認知光碟,對照組則接受一般常規照護;手術後第三天則收集PCA疼痛認知量表及簡易疼痛量表、護理滿意度量表。 分析其結果,在120位對象中分為實驗組及控制組各60位,以獨立t檢定分析為PCA疼痛認知p<.01,簡易疼痛量表及生活干擾指數為p>.05,而護理滿意度則為p<.001,因此可以發現,使用衛教光碟可以明顯讓提高病人對PCA疼痛認知及增加滿意度。此結果可提供未來對相關主題有興趣者做為參考。
The purpose of this study was to investigate the effects of different education methods on PCA cognitive and satisfaction of postoperative patients. This study used quasi-experimental design of two groups with pre- and post- test. A total of 120 orthopedics patients completed three questionnaires: basic information, PCA knowledge scale, and simple pain scale the day before the surgery. Then the experimental group viewed PCA video disc; the control group received standard care. On the third day post-surgery, all patients completed the three questionnaires: PCA knowledge scale, simple pain scale, and nursing satisfaction scale. The result of this study showed no significant difference in simple pain scale between two groups (p> .05). The experimental group has significant improvement in PCA knowledge scale and nursing satisfaction scale (p< .01). The results showed that the use of health education CD can significantly improve pain knowledge and satisfaction of the patients toward PCA. This result may provide a reference for people who are interested in the topic in the future.