探討中部某醫學中心傷口照護多媒體教學介入對外科加護護理師學習成效之相關分析

Investigation of Learning Effectiveness of SICU Nurses in Wound Care Before and After The Interactive Multimedia DVD Education Intervention in a Medical Center of Central Taiwan

林佳樺(CHAIR-HUA LIN)

指導教授 ： 林冠語

中臺科技大學/護理學院/護理研究所/碩士(2018年)

摘要

本研究目的在探討應用手術傷口多媒體教學，對加護單位護理師手術後傷口換藥知識、自我效能及傷口換藥情境特質焦慮的成效。本研究採單組前後測設計，使用方便取樣的方式。研究期間自西元2016年10月~2016年11月期間，共有效問卷為55份，完成率為96.5%。受試者完成填寫同意書後，進行前測問卷，之後由研究者進行傷口換藥多媒體教學，於一個月後再由研究者當天完成後測。所蒐集資料以SPSS 20.0 套裝軟體進行資料推論性統計、卡方檢定、魏氏帶符號等級檢定、曼惠特尼U檢定、迴歸分析等方法進行統計分析。
研究結果發現多媒體教學介入後，一般手術後傷口換藥知識上升，而情境焦慮、特質焦慮多媒體教學介入後下降。此外發現，傷口換藥自我效能卻下降。另，於未受過傷口教育的職級N0護理師，在介入多媒體教學後，發現在傷口換藥自我效能及特質焦慮得分有顯著差異。經由本研究結果顯示，護理師接受傷口教育訓練可以提高傷口換藥知識及自我效能，且面對處理情境焦慮、特質焦慮的能力也相對提升。本研究建議醫療院所對新進護理師之教育訓練，可列入傷口換藥多媒體教學於實務訓練課程之參考。

關鍵字

多媒體教學 ； 傷口知識 ； 自我效能 ； 情境特質焦慮 ； 外科加護病房護理師

並列摘要

The purpose of this study was to investigate the effectiveness of wound dressing change knowledge, self-efficacy and state-trait anxiety Inventory for SICU registered nurses by multimedia teaching. In this study, one single group was designed as pre-test and post-test by convenient sample.The registered nurses in SICU of a medical center in midland Taiwan were recruited.The date collection were conducted from October to November.Total 55 questionnaires were valid ,and 96.5% of all was completed. After completing to fill in the consent,the researcher conducted the pretest for SICU subjects.Then, multimedia teaching about wound changing dressing was performed .One month later the subjects receired the post-test.
The data collected were statistically analyzed by using SPSS 20.0 package software as inferential statistics, including Chi-square test , Wilcoxon signed-rank test and, Mann-Whitney U test and regression analysis .
In this study, we found that multimedia teaching intervention related with high score of the general surgical wound dressing knowledge and situational anxiety, trait anxiety with low score. The scores in post-test of wound dressing self-efficacy were lower. After intervention in multimedia teaching, significant differences in the scores of dressing change self-efficacy and trait anxiety was found in the staffs with level N0 nurses without wound education. According to the results of the study, nursing attendants receive training in wound education improve their knowledge of the wound dressing, self-efficacy and situational characteristics. The results of this study stressed the educational strategy for new caregivers who need to implement a multimedia approach to wound dressing change. Therefore, the strategies of new nursing education and training should include the wound dressing multimedia teaching in future. It is not only enhance the integrity of the postoperative wound care, but also improve the nursing skills, ensure the patient's quality of care, and enhance the ability of nursing care.

並列關鍵字

multimedia teaching ； wound knowledge ； self -efficacy ； State-Trait Anxiety Inventory，STAI ； surgical intensive care unit nursing staff

參考文獻

一、中文部分

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4.吳蕙菱（2007）．急性外科傷口．於于博芮總校閱，最新傷口護理學（一版，155-171 頁）．台北：華杏。