探討多媒體護理指導對婦科開腹手術病人術前焦慮之成效

The Effects of Multimedia Nursing Education on Pre-Surgery Anxiety in Gynecologic Laparotomy Patients

王菁莞(Chin‐Wan Wang) ； 林佑樺(Yu‐Hua Lin) ； 李來涼(Lai‐Ling Lee) ； 簡婉儀(Yuen‐Yee Kan) ； 陸椿梅(Chun‐Mei Lu)

《護理暨健康照護研究》 10卷3期 (2014/09) Pp. 169-177

https://doi.org/10.6225/JNHR.10.3.169

摘要

背景：病患面臨手術時，焦慮是普遍問題，亦普遍探討於內外科疾病病人，然婦科開腹手術病患術前焦慮與護理指導介入成效探討仍較闕如。目的：探討多媒體護理指導介入對婦科開腹手術患者手術前焦慮程度降低的成效。方法：採雙組前、後測研究設計。研究對象為年滿20歲，接受婦科開腹手術。實驗組（n=100）給予多媒體護理指導介入，對照組（n=100）給予護理指導手冊。收案方式採先收對照組後再收實驗組。測量工具包括：情境特質焦慮量表、生理測量和研究對象基本屬性與醫療相關變項。結果：實驗組和對照組後測比較，情境焦慮和呼吸皆有顯著差異（p值均＜.05）。兩組前、後測平均差值比較，在情境焦慮、收縮血壓、舒張血壓、脈搏與呼吸均呈現顯著差異（p值均＜.05）。結論／實務應用：研究結果證實，多媒體護理指導比傳統護理指導對婦科開腹術病患術前焦慮更具成效。未來可將內容掛於醫院網站上，提供術前病患住院前之參考，以降低術前之焦慮。

關鍵字

多媒體護理指導 ； 婦科開腹手術 ； 焦慮

並列摘要

Background: Anxiety is a common issue among pre‐surgery patients, and also popular explored among medical surgical patients. But for gynecologic laparotomy patients' pre‐surgery anxiety and the effects of the nursing education for anxiety still rare. Purpose: The purpose of this study was to examine the effects of multimedia education program on pre‐surgery anxiety in gynecologic laparotomy patients. Methods: Using a two groups compared study design. All participants were over 20 years of age and will receiving gynecologic laparotomy. Participants were distributed into with a multimedia education group (experimental group, n = 100) or with pamphlet group (control group, n = 100). Outcome measurements included state‐trait anxiety inventory, disease related data, and personal demographics. We examined outcome indicators before nursing intervention and follow up at one hour after nursing intervention. Results: A post‐test comparison of the two groups showed a statistically significant intergroup difference in terms of both state‐trait anxiety and breathing (p ＜ .05). In addition, a mean differential comparison showed statistically significant differences between the groups in terms of state‐trait anxiety, blood pressure, pulse rate, and breathing rate (p ＜ .05). Conclusions/Implications for Practice: This study demonstrates the efficacy of multimedia education in decreasing pre‐surgery anxiety in gynecologic laparotomy patients. Findings may be referenced in the development of multimedia nursing instructions. The authors suggest that these instructions may be disseminated via hospital websites to allow patients to read prior to admission in order to increase readiness and reduce surgery‐related anxiety.

並列關鍵字

multimedia ； gynecologic laparotomy ； anxiety