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題名:糖尿病人足部傷口照護不同衛教模式之比較
書刊名:榮總護理
作者:徐敏芬楊秀月許秀月
作者(外文):Hsu, Min-feenYang, Hseu-yuehHsu, Hsiu-yueh
出版日期:2010
卷期:27:1
頁次:頁65-72
主題關鍵詞:糖尿病足傷口照護自我照顧行為衛生教育DM footWound careSelf-careHealth education
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(4) 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:4
  • 共同引用共同引用:76
  • 點閱點閱:7
本研究旨在比較醫院糖尿病人足部傷口照護,其不同衛教模式(衛教光碟配合回覆示教或衛教單張配合口頭說明)對其傷口照護行為之正確性以及護理人員臨床衛教時間之差異情形。評價設計採實驗研究之二組前後測單盲設計,符合收案條件之樣本經隨機分派為2組,每組各30人。病人或主要照顧者傷口照護行為之正確性係由護理人員觀察評分並記錄於「糖尿病人足部傷口照護正確性觀察紀錄表」,收集之資料以SPSS 13.0版本統計軟體進行資料分析整理。研究結果顯示,在傷口照護行為之正確性方面,實驗組及對照組皆能達到89.86%之正確性,即二種教學方法成效一樣佳;在護理人員臨床衛教時間方面,實驗組較對照組平均每位病人節省10.40分鐘,且達顯著性差異。故本研究建議在教材方面應以衛教光碟取代衛教單張;在教法方面應強調回覆示教後由護理人員從旁協助指正鼓勵病人或家屬出院前多執行操作部份,以取代過去只聽從一位護理人員講授為主、操作為輔之方式。
The purpose of this study was to compare the correlation among different education models (educational CD-ROM and oral education versus educational sheet and oral education), clinical nursing staff education time and appropriate patients' wound care behavior. Methods: 60 cases were collected and these patients were randomly assigned to two groups (study group and control group). The study was proceed by single blind method. Wound care behavior was evaluated and recorded by clinical staff using "Correct Diabetic Foot Wound Care Evaluating Chart". The data was analyzed by SPSS 13.0. Results: The data of this study revealed that the percentage of appropriate wound care behavior in both groups were equal (89.86%). This meant that both education models were equally effective. For education duration between these two groups, the study group saved up to 10.4 minutes, which was significantly different from the control group. Conclusion: From this study, we suggested that traditional wound care education method should be replaced by CD-ROM and oral education. Repeated demonstrations by clinical nursing staff and practices by patients themselves or their family can achieve better results.
期刊論文
1.林冠品(20041200)。與公衛護士互動關係感受、疾病知識、疾病態度與糖尿病自我照顧行為的關係。臺灣公共衛生雜誌,23(6),479-486。new window  延伸查詢new window
2.邱啟潤、許淑敏、吳瓊滿(20021000)。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊,4(4),273-290。new window  延伸查詢new window
3.王秀紅(20000400)。自我照顧的概念及其在國內護理研究應用之評析。護理雜誌,47(2),64-70。new window  延伸查詢new window
4.杜異珍、夏珊、戴定玲、廖淑媛、汪乃玲(20030900)。預防醫療尖銳物品扎傷錄影帶製作及其教學成效之探討。榮總護理,20(3),294-304。new window  延伸查詢new window
5.周美嫻、林梅鳳、許玫琪、王瑤華、胡慧芳(20041200)。Exploring the Self-Learning Experiences of Patients With Depression Participating in a Multimedia Education Program。The Journal of Nursing Research,12(4),297-306。new window  new window
6.黃美娟、葉淑惠(20051000)。一位第二型糖尿病住院遊民之生活品質--帕西護理實務法之應用。護理雜誌,52(5),86-92。new window  延伸查詢new window
7.蔡奉宏、陳清惠、顏妙芬、唐福瑩(20060600)。第二型糖尿病患足部潰瘍之相關因素探討。實證護理,2(2),137-146。new window  延伸查詢new window
8.Berry, R. M.、Raleigh, E. D.(2004)。Diabetic foot care in a long-term facility。Journal of Gerontology Nursing,30(4),8-13。  new window
9.Jeffcoate, W. J.、Price. P.、Harding, K. G.(2004)。Wound healing and treatments for people with Diabetic foot ulcers。Diabetes Metabolism Research and Reviews,20(Suppll),s78-89。  new window
10.Mulik, P. K.、Mtonga, R.、Gill, G. V.(2003)。Amputation and mortality in new-onset diabetic foot ulcers stratified by etiology。Diabetes Care,26(2),491-494。  new window
11.Taylor, C. B.、Miller, N. H.、Reilly, K. R.、Greenwald, G.(2003)。Evaluation of a nurse-care management system to improve outcomes in patients with complicated diabetes。Diabetes Care,26(4),1058-1063。  new window
12.翁敏雪、李從業、李文宗(20030800)。產前錄影帶衛教介入措施對產婦分娩自我控制成效之探討。新臺北護理期刊,5(2),49-58。  延伸查詢new window
13.邱啟潤、許淑敏、吳淑如(20030100)。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊,5(1),12-25。new window  延伸查詢new window
其他
1.行政院衛生署(2006)。94年台灣地區主要死亡原因,http://www.doh.gov.tw/statistic/index.htm。  延伸查詢new window
 
 
 
 
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