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題名:改善骨科手術前病人焦慮程度之專案
書刊名:長庚護理
作者:陳美菊龔秀華湯玉珊簡麗瑜 引用關係
作者(外文):Chen, Mei-chuHung, Hsiu-huaTang, Yu-shanChien, Li-yu
出版日期:2016
卷期:27:2=94
頁次:頁197-208
主題關鍵詞:骨科手術焦慮OrthopedicSurgeryAnxiety
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 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:2
  • 共同引用共同引用:16
  • 點閱點閱:14
焦慮是一種內心的情緒反應,手術對病人是一種嚴重的壓力源,手術壓力與焦慮程度之間有著相互影響的關係。本專案旨在改善骨科手術前病人焦慮的程度。經現況分析發現骨科手術病人術前焦慮程度達8.7 分(10 分量表),其因素有對手術過程及術後照顧的不了解、護理人員對於焦慮認知不足、衛教內容缺乏一致性,使護理指導正確性不足、缺乏疾病指導內容標準等。透過舉辦在職教育、設立術前衛教內容查核表與衛教監控表、製作手術流程光碟及疾病衞教指引等方案,病人對改善前焦慮平均分數由 8.7 分降至3.4 分,術前內容護理指導之執行率,由專案實施前82%提升為95.5%。由此發現本專案於臨床工作可有效改善病人的焦慮程度,應可作為臨床護理人員對即將手術的病人,術前衛教指引之參考,及有助於醫療品質之提升。
Anxiety is an inner emotional reaction. Surgery is a heavy source of stress for patients. Surgical stress relates to and affects the level of pre-operative anxiety. This project aimed to reduce pre-operative anxiety among orthopedic surgery patients. It was found in the current analysis that the patients’ preoperative anxiety level was 8.7 (out of 10). The reasons were found as patients being unfamiliar with the surgery process and post-operative care, nurses with inadequate recognition of patients’ anxiety, inconsistent education provided to patients, and lack of education standards. By means of providing inservice education, developing pre-operative education checklists and supervisory system, establishing operation process disks and educational nursing care guidelines, the pre-operative anxiety was reduced from 8.7 to 3.4. The implementation rate of pre-operative education also increased from 82% to 95.5%. The project effectively reduces the patient's anxiety level. The outcome of this project can be used as a reference for clinical nurses when caring pre-operative patients to improve the quality of medical care.
期刊論文
1.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
2.葉雅惠、江慧玲、林麗英、許凰珠(20101200)。多媒體光碟於脊椎手術病患術前焦慮之成效。護理暨健康照護研究,6(4),299-307。new window  延伸查詢new window
3.Perk, A.、Chakravarti, S.、Manninen, P.(2009)。Preoperative anxiety in neurosurgical patients。Journal of Neurosurgical Anesthesiology,21(2),127-130。  new window
4.向雅玲、彭台珠、楊福麟、蘇泉發、李茹萍(20110400)。衛教介入對頭部外傷病人主要照顧者焦慮與疾病知識之影響。新臺北護理期刊,13(1),33-42。  延伸查詢new window
5.周美錱(20100800)。手術前訪視的重要性。品質月刊,46(8),17-20。  延伸查詢new window
6.趙明玲、林雅慧、鄭如玉、林嘉玲、邢鴻君、余秋霖(20090300)。手術衛教介入對改善脊椎手術病人焦慮之成效探討。輔仁醫學期刊,7(1),29-38。  延伸查詢new window
7.簡鈺珊、鍾玉珠、李淑惠、鍾佳茹(20121100)。運用多媒體衛教對心導管檢查患者焦慮與滿意度之成效。源遠護理,6(2),29-38。  延伸查詢new window
8.徐莞雲、陳筱瑀(20080600)。焦慮的概念分析。志為護理,7(3),65-70。  延伸查詢new window
9.黃百慶、陳坤堡、劉時凱、劉玉成、陳慶鴻、吳世銓(20090900)。病患對術後疼痛及麻醉風險之認知與態度。疼痛醫學雜誌,19(2),55-63。  延伸查詢new window
10.張惠娟、蔡佩玲、蕭如玲(20130600)。行動化手術前訪視系統之建置與成效評估。健康管理學刊,11(1),45-60。new window  延伸查詢new window
11.張瑞春、陳懿茹、黃雅莉、陳麗貞、賀倫惠(20120200)。提升急診室護理人員執行手術前護理準備完整性。志為護理,11(1),85-96。  延伸查詢new window
12.Chair, S. Y.、Chau, M. Y.、Sit, J. W.、Wong, E. M.、Chan, A. W.(2012)。The psychological effects of a videotape educational intervention on cardiac catheterization patients。Contemporary nurse,40(2),225-233。  new window
13.Jacobson, A. F.、Myerscough, P.、Delambo, k.、Fleming, E.、Huddleston, A. M.、Bright, N.、Varley, J. D.(2008)。Patient's perspectives on total knee replacement。American Journal of Nursing,108(5),54-63。  new window
14.Lee, C. K.、Lee, I. F. K.(2013)。Preoperative patient teaching: The practice and perceptions among surgical ward nurses。Journal of Clinical Nursing,22(17/18),2551-2561。  new window
15.Yilmaz, M.、Sezer, H.、Gurler, H.、Bekar, M.(2011)。Predictors of preoperative anxiety in surgical inpatients。Journal of Clinical Nursing,21(7/8),956-964。  new window
16.朱正一、曾稼志(20110900)。骨科手術病人之健康知能、知覺同理心、術前資訊理解程度與術前焦慮之探討。醫務管理期刊,12(3),177-190。new window  延伸查詢new window
學位論文
1.林宜靜(2009)。比較多媒體光碟與單張衛教對緩解加護病房病患家屬情境焦慮之成效研究(碩士論文)。慈濟大學。  延伸查詢new window
 
 
 
 
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