提供痔瘡手術患者完善的手術前後護理指導可降低其壓力與焦慮,提升其自我照顧能力與生活品質,然於臨床情境中,護理人員講述紙本衛教單張內容常有差異性,繁忙的工作 環境常使護理人員說話速度偏快、護理指導內容不完整,故本專案運用多媒體提升護理人員痔瘡手術前後護理指導之認知正確率與完整率。造成北部某醫學中心外科病房護理人員執行 痔瘡手術前後護理指導之認知正確率及完整率低的主要原因有:一、缺乏痔瘡手術前後護理指導之照護規範或相關訓練課程;二、護理指導工具不完善;三、護理指導內容不符合大眾之需求;四、護理指導時間不足,故進行改善專案。執行時間自2016年7月1日至2017年2 月28日,改善方案包括:制訂痔瘡手術前後護理指導規範、規劃在職教育訓練課程、修訂「ABCD痔瘡簡單顧」護理指導手冊、製作「痔瘡手術前後護理指導多媒體影片」。執行專案後護理人員對痔瘡手術前後護理指導認知正確率由79.1%提升至100%,完整率由76.7%提升 至90.1%,達成本專案目的,有效提升護理人員給予痔瘡手術前後護理指導之認知正確性與 完整性
Pre- and post-operative nursing education provided to patients who agree to undergo hemorrhoid surgery can reduce their stress and anxiety, as well as enhance their postoperative self-care ability and quality of life. However, in a busy clinical working environment, the nurses often give hasty nursing education and the patients are unable to understand clearly. Therefore, we utilized multimedia to enhance the quality of nursing education, which helps increase both the accuracy rates of nurses' recognition and completion rates of providing pre- and post-hemorrhoid surgery nursing education.