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題名：探討多媒體護理指導對婦科開腹手術病人術前焦慮之成效
書刊名：護理暨健康照護研究
作者：王菁莞／林佑樺／李來涼／簡婉儀／陸椿梅
作者(外文)：Wang, Chin-wan／Lin, Yu-hua／Lee, Lai-ling／Kan, Yuen-yee／Lu, Chun-mei
出版日期：2014
卷期：10:3
頁次：頁169-177
主題關鍵詞：多媒體護理指導；婦科開腹手術；焦慮；Multimedia；Gynecologic laparotomy；Anxiety
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(1) 博士論文(0) 專書(0) 專書論文(0)
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背景：病患面臨手術時，焦慮是普遍問題，亦普遍探討於內外科疾病病人，然婦科開腹手術病患術前焦慮與護理指導介入成效探討仍較闕如。目的：探討多媒體護理指導介入對婦科開腹手術患者手術前焦慮程度降低的成效。方法：採雙組前、後測研究設計。研究對象為年滿20歲，接受婦科開腹手術。實驗組（n=100）給予多媒體護理指導介入，對照組（n=100）給予護理指導手冊。收案方式採先收對照組後再收實驗組。測量工具包括：情境特質焦慮量表、生理測量和研究對象基本屬性與醫療相關變項。結果：實驗組和對照組後測比較，情境焦慮和呼吸皆有顯著差異（p值均＜.05）。兩組前、後測平均差值比較，在情境焦慮、收縮血壓、舒張血壓、脈搏與呼吸均呈現顯著差異（p值均＜.05）。結論／實務應用：研究結果證實，多媒體護理指導比傳統護理指導對婦科開腹術病患術前焦慮更具成效。未來可將內容掛於醫院網站上，提供術前病患住院前之參考，以降低術前之焦慮。
Background: Anxiety is a common issue among pre‐surgery patients, and also popular explored among medical surgical patients. But for gynecologic laparotomy patients' pre‐surgery anxiety and the effects of the nursing education for anxiety still rare. Purpose: The purpose of this study was to examine the effects of multimedia education program on pre‐surgery anxiety in gynecologic laparotomy patients. Methods: Using a two groups compared study design. All participants were over 20 years of age and will receiving gynecologic laparotomy. Participants were distributed into with a multimedia education group (experimental group, n = 100) or with pamphlet group (control group, n = 100). Outcome measurements included state‐trait anxiety inventory, disease related data, and personal demographics. We examined outcome indicators before nursing intervention and follow up at one hour after nursing intervention. Results: A post‐test comparison of the two groups showed a statistically significant intergroup difference in terms of both state‐trait anxiety and breathing (p ＜ .05). In addition, a mean differential comparison showed statistically significant differences between the groups in terms of state‐trait anxiety, blood pressure, pulse rate, and breathing rate (p ＜ .05). Conclusions/Implications for Practice: This study demonstrates the efficacy of multimedia education in decreasing pre‐surgery anxiety in gynecologic laparotomy patients. Findings may be referenced in the development of multimedia nursing instructions. The authors suggest that these instructions may be disseminated via hospital websites to allow patients to read prior to admission in order to increase readiness and reduce surgery‐related anxiety.
期刊論文
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3.蔡曉婷、周汎澔(20120800)。多媒體護理指導緩解冠狀動脈成形術後心肌梗塞病患焦慮及疾病不確定感之成效。護理雜誌，59(4)，43-53。new window  延伸查詢new window
4.陳淑華、黃瑞珍、王美文、林梅香、郭繼陽、黃珊(20111200)。術前訪視衛教對全膝關節置換術病人焦慮及生理指標之影響。醫護科技期刊，13(4)，241-250。new window  延伸查詢new window
5.鍾漢軍、董道興、謝玉芬、黃麗華、師慧娟、石惠美(20080600)。手術前麻醉諮詢門診對術前焦慮與術後滿意度之探討。醫務管理期刊，9(2)，114-130。new window  延伸查詢new window
6.Kagan, I.、Bar-Tal, Y.(2008)。The Effect of Preoperative Uncertainty and Anxiety on Short Term Recovery after Elective Arthroplasty。Journal of Clinical Nursing，17(5)，576-583。  new window
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8.趙明玲、林雅慧、鄭玉如、林嘉玲、邢鴻君、余秋霖(2009)。手術衛教介入對改善脊椎手術病患焦慮之成效探討。輔仁醫學期刊，7(1)，29−38。  延伸查詢new window
9.Chair, S. Y.、Chau, M. Y.、Sit, J. W. H.、Wong, E. M. L.、Chan, A. W. K.(2012)。The psychological effects of a videotape educational intervention on cardiac catheterization patients。Contemporary Nurse，40(2)，225-233。  new window
10.Cornoiu, A.、Beischer, A. D.、Donnan, L.、Graves, S.、de Steiger, R.(2011)。Multimedia patient education to assist the informed consent process for knee arthroscopy。Australia and New Zealand Journal of Surgery，81(3)，176-180。  new window
11.Ebirim, L.、Tobin, M.(2011)。Factors responsible for preoperative anxiety in elective surgical patients at a university teaching hospital: A pilot study。The Internet Journal of Anesthesiology，29(2)，1-3。  new window
12.Guo, P.、East, L.、Arthur, A.(2012)。A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial。International Journal of Nursing Studies，49(2)，129-137。  new window
13.Ihrig, A.、Herzog, W.、Huber, C. G.、Hadaschik, B.、Pahernik, S.、Hohenfellner, M.、Huber, J.(2012)。Multimedia support in preoperative patient education for radical prostatectomy: The physicians' point of view。Patient Education and Counseling，87(2)，239-242。  new window
14.Kruzik, N.(2009)。Benefits of preoperative education for adult elective surgery patients。Association of Perioperative Registered Nurses Journal，90(3)，381-387。  new window
15.Liu, C. Y.、Cheng, C. C.、Sun, H. L.、Wu, Y. Y.(2011)。Postoperative pain after laparoscopic, vaginal and abdominal hysterectomy for benign pathology: A nationwide populationbased comparison。Chinese Journal of Pain，21(1)，8-15。  new window
16.Nieboer, T. E.、Hendriks, J. C. M.、Bongers, M. Y.、Vierhout, M. E.、Kluivers, K. B.(2012)。Quality of life after laparoscopic and abdominal hysterectomy: A randomized controlled trial。Obstetrics and Gynecology，119(1)，85-91。  new window
17.Pinto, P. R.、McIntyre, T.、Almeida, A.、Araújo-Soares, V.(2012)。The mediating role of pain catastrophizing in the relationship between presurgical anxiety and acute postsurgical pain after hysterectomy。Pain，153(1)，218-226。  new window
18.Pittman, S.、Kridli, S.(2011)。Music intervention and preoperative anxiety: An integrative review。International Nursing Review，58(2)，157-163。  new window
19.Salmon, P.(1993)。The reduction of anxiety in surgical patients: An importment nursing task or the medicalization of preparatory worry?。International Journal of Nursing Studies，30(4)，323-330。  new window
20.Soltner, C.、Giquello, J. A.、Monrigal-Martin, C.、Beydon, L.(2011)。Continuous care and empathic anaesthesiologist attitude in the preoperative period: Impact on patient anxiety and satisfaction。British Journal of Anaesthesia，106(5)，680-686。  new window
21.Zhang, C. Y.、Jiang, Y.、Yin, Q. Y.、Chen, F. J.、Ma, L. L.、Wang, L. X.(2011)。Impact of nurse-initiated preoperative education on postoperative anxiety symptoms and complications after coronary artery bypass grafting。The Journal of Cardiovascular Nursing，27(1)，84-88。  new window
22.Jlala, H. A.、French, J. L.、Foxall, G. L.、Hardman, J. G.、Bedforth, N. M.(2010)。Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia。British Journal of Anaesthesia，104(3)，369-374。  new window
23.Perk, A.、Chakravarti, S.、Manninen, P.(2009)。Preoperative anxiety in neurosurgical patients。Journal of Neurosurgical Anesthesiology，21(2)，127-130。  new window
24.鍾玉珠、呂淑芬(20040800)。衛教對剖腹術患者其術前焦慮及護理滿意度之成效探討。新臺北護理期刊，6(2)，63-72。  延伸查詢new window
25.黃光琪、吳興盛、梁挋、蔡高宗(20050300)。骨科患者手術前後焦慮程度與不確定感之相關性研究。臺灣復健醫學雜誌，33(1)，1-10。  延伸查詢new window
26.Mayer, Richard E.、Moreno, Roxana(2003)。Nine Ways to Reduce Cognitive Load in Multimedia Learning。Educational Psychologist，38(1)，43-52。  new window
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學位論文
1.周美錱(2010)。手術病人接受手術訪視成效探討(碩士論文)。東海大學。  延伸查詢new window
2.林建得(2003)。心理壓力刺激對生理心理反應相關研究(碩士論文)。屏東師範學院，屏東市。  延伸查詢new window
圖書
1.Spielberger, C. D, Gorsuch, R.,、Lustene, R. E.(1970)。Mamual for the State-Trait Anxiety Inventory (Self-valuative Questionnaire)。Palo Alto, CA：Counseling Psychologists Press。  new window
2.Spielberger, C. D.、Gorsuch, R. L.、Lushene, R.、Vagg, P. R.、Jacobs, G. A.(1983)。Manual for the State-Trait Anxiety Inventory。Consulting Psychologists Press。  new window
 
 
 
 
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