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題名：光碟教學對改善長照機構護理人員在導尿管相關泌尿道感染知識之成效
書刊名：護理暨健康照護研究
作者：陳美雪／林淑媛 引用關係
作者(外文)：Chen, Mei-hsuen／Lin, Shu-yuan
出版日期：2012
卷期：8:1
頁次：頁61-69
主題關鍵詞：光碟教學；長照機構；護理人員；導尿管相關泌尿道感染；知識；Compact-disc teaching；Long-term care facilities；Nurses；Catheter-associated urinary tract infection；CAUTI；Knowledge
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(7) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:1
  • 點閱點閱:94
背景: 泌尿道感染為長照機構常見感染之一，尤其導尿管相關泌尿道感染（ catheter-associated urinary tract infection, CAUTI）是引起機構感染的主因之一。對許多獨立型的長照機構而言，因資源受限而影響了機構內護理人員對相關泌尿道感染防護的認知。 目的: 比較有無接受多媒體影音光碟教學及光碟教學介入前後，長照機構護理人員在導尿管相關泌尿道感染知識之改變程度。 方法: 採雙組前後測之類實驗設計，進行時間為 2010年 4月至 6月，以高雄市 24家獨立型養護中心及 1家醫院附設護理之家之 72位護理人員為對象，依參加機構主管意願分派為實驗組及控制組，37位實驗組接受一個月的多媒體影音光碟教學， 35位控制組則無接受光碟教學，兩組人員均接受導尿管相關泌尿道感染知識量表之前測與後測。 結果: 實驗組與控制組在知識前測得分無顯著差異（ p =.18），多媒體影音光碟教學介入後，實驗組與控制組在知識後測有顯著差異（ p < .01），以知識前測得分及婚姻、年齡和工作年資當作共變項，發現實驗組在知識後測仍與控制組有顯著差異（ p < .01）。 結論: 多媒體影音光碟教學可增進護理人員在導尿管相關泌尿道感染的知識，透過知識的提升可能會改變護理人員在導尿管相關泌尿道感染的照護行為，而使導尿管相關泌尿道感染發生率降低，故建議長照機構未來可利用多媒體影音光碟教學作為在職教育的策略。
Background: Urinary tract infection (UTI) is one of the most prevalent infections in long-term care facilities. Catheter-associated urinary tract infection (CAUTI) is the major cause of UTI in these facilities. Nurses’ knowledge of CAUTI in many free-standing long-term care facilities is inadequate due to resource limitations. Purpose: This study assessed the effect on CAUTI knowledge of multimedia CD-ROM instruction by comparing the CAUTI knowledge of nurses who received such instruction and those who did not. Methods: Researchers used a quasi-experimental pretest -posttest control group design; This study was conducted from April to June 2010; Data were collected from 72 nurses working in 24 assisted-living facilities and one hospital-affiliated nursing home in Kaohsiung. Group assignment was based on nursing home administrator choice. The experimental group received one month of multimedia CD-ROM instruction, and the control group received no CD-ROM instruction. Both groups completed a CAUTI knowledge questionnaire prior to and after the intervention. Results: There was no significant pre-test difference in CAUTI knowledge between the two groups (p = .18). Post-test improvement in CAUTI knowledge in the experimental group nurses was significantly larger than in the control group (p < .01). Using pre-test CAUTI knowledge, marriage, age and work experience as covariates, experimental group nurses had significantly better CAUTI knowledge compared to control group nurses at post-test (p < .01). Conclusions: Multimedia CD-ROM instruction can increase CAUTI knowledge in nurses, which may lead to improved nurse CAUTI care behavior and decreased CAUTI incidence. We suggest promoting multimedia CD-ROM teaching as a continuing education strategy in long-term care facilities.
期刊論文
1.Singson, K.,、Murphy, S.,、Merrill, C. K.(2011)。Nurses’ knowledge and compliance to catheter associated urinary tract infection prevention bundle: A baseline survey。American Journal of Infection Control，39(5)，170-10。  new window
2.李聰明、陳雅玲、楊嘉玲(20080800)。長期照護機構的院內感染--以某護理之家為例。內科學誌，19(4)，331-336。  延伸查詢new window
3.張美玉、王富瑩、王筱華、王凱君、張靜雯(20091200)。加護病房實施「存留導尿管照護群組」之成效評價。榮總護理，26(4)，336-345。new window  延伸查詢new window
4.Elpern, E. H.、Killeen, K.、Ketchem, A.、Wiley, A.、Patel, G.、Lateef, O.(2009)。Reducing use of indwelling urinary catheters and associated urinary tract infections。American Journal of Critical Care，18(6)，535-541。  new window
5.Willson, M.、Wild, M.、Webb, M.-L.、Thompson, D.、Parker, D.、Harwood, J.、Gray, M.(2009)。Nursing interventions to reduce the risk of catheter-associated urinary tract infection. Part 2: Staff education, monitoring, and care techniques。Journal of Wound, Ostomy, & Continence Nursing，36(2)，137-154。  new window
學位論文
1.曹瑞雲(2008)。長期照護機構護理人員在職教育需求之研究--以屏東地區為例(碩士論文)。美和技術學院。  延伸查詢new window
其他
1.竺珍倫、陳孟娟、張智華、林　滿、王復德(Chu, C. L., Chen, M. C., Chang, C. H., Lin, M., & Wang, F. D.)(2009)。某醫學中心留置導尿管相關感染管制措施執行之探討(Evaluation of infection control strategy in indwelling urinary catheter in a medical center)。  延伸查詢new window
2.姚清元、趙貞怡(Yao, C. Y., & Chao, J. Y.)(2005)。數位學習在醫院臨床護理人員進階訓練之應用(E-learning in a hospital clinical nursing staff of the advanced application training)。  延伸查詢new window
3.紀美滿、陳玉枝、周幸生、陳媖媖(Chi, M. M., Chen, Y. C., Chou, S. S., & Chen, Y. Y.)(2010)。加護病房泌尿道感染相關危險因子探討(Risk factors of urinary tract infection in an intensive care unit)。  延伸查詢new window
4.陳鼎達、黃麗卿、鍾瑩瑩、張家銘(Chen, T. T., Hwang, L. C., Tjung, J. J., & Chang, C. M.)(2005)。護理之家住民因泌尿道感染而住院之調查研究(Hospitalized urinary tract infections in residents of a nursing home)。  延伸查詢new window
5.鄭玉亭(Cheng, U. T.)(2009)。導尿管引起泌尿管感染之預防與照護(Prevention and nursing care of catheter-associated urinary tract infections)。  延伸查詢new window
6.儲德馨、張淑貞、陳美琴、黃高彬(Chu, T. H., Chang, S. C., Chen, M. C., & Hwang, K. P.)(2007)。南部某醫學中心急診加護病房降低泌尿道感染改善方案(A plan to control the urinary tract infection in emergency intensive care unit of a medical center in southern Taiwan)。  延伸查詢new window
7.D. M. Drekonja, M. A. Kuskowski & J. R. Johnson(2010)。Foley catheter practices and knowledge among Minnesota physicians。  new window
8.T. Fekete(2008)。Urinary tract associated with indwelling bladder catheters。  new window
9.M. Gray(2004)。What nursing interventions reduce the risk of symptomatic urinary tract infection in the patient with an indwelling catheter?。  new window
10.A. Huckstadt & K. Hayes(2005)。Evaluation of interactive online courses for advanced practice nurses。  new window
11.Lin, C. F., Yang, C. Y., Lu, M. S., & Kao, C. C.(2008)。Effectiveness of a nosocomial infection control training in improving knowledge in patient-hired attendants and outsourced workers in Taiwan。  new window
12.C. J. MacDonald, E. J. Stodel & L. Casimiro(2008)。An online interpersonal learning resource for physicians, pharmacists, nurse practitioners, and nurses in long-term care: Benefits, barriers, and lessons learned。  new window
13.J. Meddings, M. A. Rogers, M. Macy & S. Saint(2010)。Systematic review and meta-analysis: Reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients。  new window
14.L. E. Nicolle(2001)。Epidemiology of urinary tract infection。  new window
15.D. Parker, L. Callan, J. Harwood, D. Thompson, M. Webb, M. Wilde, & M. Willson(2009)。Catheter-associated urinary tract infections: Fact sheet。  new window
16.K. Petrucci, P. Petrucci, K. Canfield, K. A. McCormick, K. Kjerulff & P. Parks(1991)。Evaluation of UNIS: Urological nursing information systems，Washington：DC: American Medical Informatics Association。  new window
17.J. D. Zimakoff, B. Pontoppidan, S. O. Larsen, K. B. Poulsen & D. J. Stickler(1995)。The management of urinary catheters: Compliance of practice in Danish hospitals, nursing homes and home care to national guidelines。  new window
 
 
 
 
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