以實驗設計分析多媒體麻醉衛教光碟
對病人術前焦慮與認知之影響

林虹妙

doi:10.6834/CSMU.2010.00140

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以實驗設計分析多媒體麻醉衛教光碟對病人術前焦慮與認知之影響

An experimental study of the effect of a video-assisted preanesthetic patient education on patient’s preoperative anxiety and cognition

林虹妙 , Masters　　Advisor：盧燕嬌　　

繁體中文 DOI： 10.6834/CSMU.2010.00140

多媒體衛教光碟；麻醉術前訪視；焦慮；認知； preanesthesia education ； multimedia-based nursing instruction video ； preanesthesia visit ； preanesthesia anxiety

Abstract │ Reference (134) │ Times Cited (2) │ Altmetrics

Abstract 〈TOP〉

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Many studies have shown that the video-based instruction can facilitate patients’ cognitive learning, and that systematic nursing instruction was able to significantly lower the patient's anxiety. After reviewing relevant literature and with assistance of an anesthesiologist, the researcher designed a multimedia nursing instruction video to teach patients the process of general anesthesia. 
   The purpose of this experimental research study was to evaluate the effect of a preanesthesia teaching video on patients’ anxiety level and patients’ cognition learning . Subjects were randomized to either the control or the experimental group.  The experimental group (n=30) received a 6-minute multi-media preanesthesia video instruction and a preanesthesia visit from a clinical nurse anesthetist, while the control group (n=30) received only a preanesthesia visit from the same nurse anesthetist.
Survey instruments included the Trait Anxiety Scale, a cognitive learning questionnaire and vital sign monitors to measure heart rate, blood pressure and respiratory rate. Data was then analyzed using the SPSS for window 16.0 software package.   The results showed that state anxiety scores in the experimental group significantly decreased from the 11.50 to 8.90(p=.033). Patients’ cognitive learning showed better understanding of the general anesthesia process, preanesthesia instructions, postanesthesia instructions . Patients in the experimental group had significantly lower heart rate (pretest: 77.73; posttest: 72.63, p=.000), blood pressure (pretest: 117.4/71.3 mmHg; posttest: 114.9/71.3 mmHg, p=.008), and respiratory rate (pretest: 19.43; posttest: 17.40, p=.000).   The results suggested the multimedia-based preanesthesia nursing instruction video was effective in the reduction of patients’ anxiety level. Thus, it was recommended that all patients undergoing general anesthesia receive a preanesthetic visit as well as a multimedia-based preanesthesua nursing instruction video to reduce their anxiety.

Reference ( 134 ) 〈TOP〉

王嫚溪(2000)．如何製作好讀易懂書面衛教資料．臺灣醫學， 4 ( 3 ) ，334-337。
連結：
杜莉娟、李美玉、張德馨(2007).運用多媒體於產後團體護理指導之改善方案.新台北護理期刊，9(1)，81-91。
連結：
李美雲、蕭正光、許淑蓮等（2002）：乳癌患者不確定感及影響因素之探討。慈濟護理雜誌；1：57-65。
連結：
邱聖豪、陳星助、林欣榮(2003)．以門診顧客滿意度調查表探討門診顧客的需求．慈濟護理雜誌， 2(3)，49-57。
連結：
林碧珠(2007).二維品質模式與麻醉前訪視滿意度.碩士論文，台北醫學大學護理研究所
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Times Cited (2) 〈TOP〉

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