多媒體衛教光碟合併護理指導對於初次冠心病患者在疾病知識、態度及自我照顧行為之成效探討

The Effects of Video Education Combined With Nursing Instruction on the Knowledge, Attitude, and Self-Care Behaviors of Patients Diagnosed With the First Onset of Coronary Heart Disease

邵上智(Shang‐Chih Shao) ； 蔡明翰(Min‐Han Tsai) ； 蔡培癸(Pei‐Kwei Tsay) ； 劉雪娥(Hsueh‐Erh Liu)

《護理暨健康照護研究》 11卷3期 (2015/09) Pp. 175-186

https://doi.org/10.6225/JNHR.11.3.175

摘要

背景：目前對冠心病患者的知識、態度及自我照顧行為成效，仍以護理衛教為介入方案為主。目的：本研究之目的在探討多媒體衛教光碟合併護理指導，對初次冠心病患者之疾病知識、態度及自我照顧行為的成效。方法：採類實驗雙組前後測之研究設計，研究對象為桃園市某區域教學醫院初次冠心病住院患者，依先後順序將樣本分成對照組（n=35）與實驗組（n=35）。對照組僅接受護理常規，而實驗組接受多媒體衛教光碟合併護理指導。測量工具包括：患者基本屬性量表、冠心病知識量表、冠心病態度量表及冠心病自我照顧行為量表。結果：在冠心病知識方面，實驗組與對照組在前後測間均顯著提高（p值均＜.001），但實驗組的提升效果優於對照組（p＜.001）。在冠心病態度與冠心病自我照顧行為方面，實驗組在介入後顯著提高（p值均＜.001），而對照組則無。結論／實務應用：建議可將本模式推廣至各醫療院所，以提升初次冠心病患者的照護品質。

關鍵字

多媒體護理指導 ； 冠心病 ； 知識 ； 態度 ； 自我照顧行為

並列摘要

Background: Most interventions that have been designed to enhance the coronary‐heart‐disease‐related self-care knowledge, attitudes, and behaviors of patients are taught in nursing education. Purpose: This study examines the effects of a combined video and nursing instruction intervention on the personal knowledge, attitude, and self‐care behaviors of patients who were recently diagnosed with their first attack of coronary heart disease. Methods: A quasi‐experimental, pre‐ and post‐test design was conducted. A purposive sample of 70 first‐onset coronary heart disease (CHD) patients who were hospitalized in a regional hospital in Taoyuan City was recruited. The control group received routine care only and the experimental group received video and nursing instruction. Data were collected using a structured demographic questionnaire, CHD knowledge scale, CHD attitude scale, and CHD self‐care behavior scale. Results: Both groups reported relatively high posttest scores on the knowledge scale (p＜.001). However, the experimental group reported better improvement. The experimental group reported higher posttest scores on the attitude scale and on the self‐care behavior scale (p＜.001), while no significant changes were found in the control group between pretest and posttest scores for these scales. Conclusion/Implications for Practice: We recommended integrating this video intervention into clinical care practice as one measure to improve the quality of care provided to first‐attack CHD patients.

並列關鍵字

multimedia nursing instruction ； coronary heart disease (CHD) ； knowledge ； attitude ； self‐care behavior

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