護理人員使用雙重過濾血漿分離術自學手冊學習成效探討

論文名稱(中/英文)	研究生	指導教授
護理人員使用雙重過濾血漿分離術自學手冊學習成效探討 Nurse Learning of Double Filtration Plasmapheresis Therapy : The Effectiveness of a Self-Learning Manual	薛錦滿	陳玉枝博士
[ 摘要 ]
本研究目的是探討雙重過濾血漿分離術(DFPP)自學手冊介入後，護理人員之知識、技能與學習態度之成效探討。研究方法採單組前後測設計；研究對象為台北市某醫學中心血液透析室護理人員，共34人；研究對象需接受前後測，前測施測完畢後，給予每人一份雙重過濾血漿分離術(DFPP)自學手冊，約於兩週後，進行問卷之後測，回收有效問卷34份(100％)。以SPSS19.0電腦統計套裝軟體進行資料分析，採用平均值、標準差、百分比、Paired t-test等方法進行推論性統計分析。研究結果顯示：（一）雙重過濾血漿分離術(DFPP)自學手冊介入後，血液透析護理人員在｢整體知識｣之介入前、後測分數（滿分為20分），後測的平均得分（16.06±3.53）顯著高於前測平均得分（11.09±2.71），並達統計顯著的差異。表示介入後顯著優於介入前。（二）雙重過濾血漿分離術(DFPP)自學手冊介入後，血液透析護理人員在「自評整體技術操作能力」之前、後測分數上的t檢定皆達統計顯著，且皆為後測的得分（Mean±SD = 4.61±0.47）顯著高於前測（Mean±SD = 3.7±0.82）（滿分為5分）。介入後顯著優於介入前。（三）雙重過濾血漿分離術自學手冊介入後，學習態度高。結論：藉由自學式手冊為教育介入方式，能有效的提昇護理人員在操作雙重過濾血漿分離術的相關認知能力。因此，建議未來在推動臨床護理人員的雙重過濾血漿分離術教育時，可以自學式手冊為管道，教導護理人員在雙重過濾血漿分離術相關能力的學習，如此不僅能增進護理人員對雙重過濾血漿分離術之了解，進而能提供病人之安全照護。
[ Abstract ]
The purpose of this research was to explore the knowledge, skills and learning effectiveness of the nursing staff, after the intervention of double filtration plasmapheresis (DFPP)self-learning manual. Research method adopted pre and posttest design of single group; research objects were 34 nurses of the hemodialysis room in a medical center in Taipei City; they accepted pre and posttests, was given the DFPP self-learning manual after pre-test was completed and then conducted post-test of the questionnaire after two weeks, with 34 valid questionnaires (100%)recovered. Data was analyzed by SPSS19.0 software package; inferential statistical analysis was conducted by frequency distribution, percentage, mean value, standard deviation and paired t-test. Research findings are as follows: 1.As for hemodialysis nurses’ pretest and posttest scores (the full score was 20)in terms of the intervention of overall knowledge after the intervention of double filtration plasmapheresis (DFPP) self-learning manual,, the posttest average score (16.06±3.53) was significantly higher than the pretest average score (11.09±2.71) with a statistically significant difference, which indicated that the score before intervention was significantly better than that after intervention.2.The after the intervention of double filtration plasmapheresis (DFPP) self-learning manual t- test of hemodialysis nurses’ both pretest and posttest score sin terms of “self-assessment of overall skills operation capacity” was statistically significant, and the posttest score (Mean±SD=4.61±0.47) was significantly higher than the pretest score(Mean ±SD=3.7±0.82) (the full score was 5), which indicated that the score before intervention was significantly better than that after intervention. 3. Learning attitude was high after the intervention of double filtration plasmapheresis operation manual. Conclusion: the educational intervention of self-learning manual can effectively improve nurses in operating related cognitive abilities of double filtration plasmapheresis. Therefore, it’s proposed that self-learning manual be served as the channel and nurses learn the capacity related to double filtration plasmapheresis when promoting double filtration plasmapheresis education of clinical nurses in future, which not only can enhance nurses’ understanding of double filtration plasmapheresis but also can provide patients with safe care.