多媒體護理指導對降低心導管術後心肌梗塞病患焦慮及疾病不確定感的成效

蔡曉婷

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多媒體護理指導對降低心導管術後心肌梗塞病患焦慮及疾病不確定感的成效

The Effectiveness of Multimedia Nursing Education on Anxiety and Uncertainty of Illness Reduction for Myocardial Infarction Patient after Percutaneous Coronary Intervention

蔡曉婷 , Masters　　Advisor：周汎澔　　

繁體中文

多媒體護理指導；焦慮；不確定感；心肌梗塞； Multimedia nursing education ； anxiety ； uncertainty ； myocardial infarction (MI)

Abstract │ Reference (137) │ Times Cited (3) │ Altmetrics

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According to the latest world health statistics published by the World Health Organization (WHO), coronary heart disease (12.2%) led the top ten global causes of death in 2004. Due to the above, international studies have been focused on health education for patients suffering from coronary heart disease, especially myocardial infarction (MI) in the recent years.
    Myocardial infarction is a life-threatening disease that always being sudden onset. Patients who suffer from MI are usually attacked by severe anxiety and uncertainty of illness when they face this stressful disease. However, most of current studies about MI patients’ anxiety and uncertainty of illness focus on non-acute stage. Research and intervention for acute stage are relatively scarce. Otherwise, close monitor and care in the cardiac care unit (CCU) for MI patients are usually needed. Thus, we tried to find an adequate mode of patient education for clinical application in the CCU, an extremely busy nursing workplace.
The purpose of this study was to check the effectiveness of multimedia nursing education on anxiety and uncertainty of illness reduction for MI patients. A quasi-experimental study with judgment sampling was designed. In our study, multimedia nursing education was applied to the experimental group and written nursing education was to the control group. The reduction of MI patients’ anxiety and uncertainty of illness was discussed at four specific timing: 1) Admission to the CCU, 2) Post-intervention of nursing education, 3) Transfer to the ordinary ward, and 4) Discharge. 
Based on the results of our study, we can effectively relieve MI patients’ moderate to severe anxiety and uncertainty of illness via whether multimedia or written nursing education. The effectiveness of multimedia form was equal to written form. Thus, we can just choose one of them according to the patient’s condition.

Reference ( 137 ) 〈TOP〉

第七章參考文獻
中文部分
丁惠曾、胡慧林、李淑瓊、萬熙玫、蘇碧惠、黃月琴(1991)•心導管檢查錄影帶教前後患者認知及焦慮程度之探討•榮總護理，8(2)，179-186。
丁賢偉、詹前隆(2009)•互動式衛生教育系統對下背痛衛生教育之效果•醫護科技期刊，11(4)，235-247。
王全益(1993)•突破傳統教學之心路歷程-電腦多媒體教學•菁莪季刊，5(4)，45-48。

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