現今因疾病因素而腸造口手術人數也日趨增多，臨床腸造口照護無完整之教育課程，繼而影響護理人員對腸造口照護之成效；因此，運用符合實務所需之多媒體教材輔助在職教育訓練，以期望有效提升護理人員對腸造口照護的專業技能。

本研究旨在探討多媒體輔助教學介入腸造口照護課程，護理人員在腸造口照護認知測驗、腸造口照護技能自評、腸造口照護自我效能及腸造口照護課程之學習滿意度學習成效。採類實驗性研究(Quasi-experimental design)及兩組前、後測設計；研究對象以北部某醫學中心護理人員共78名；44名實驗組接受多媒體教學光碟模式介入腸造口照護課程，34名控制組接受傳統課室教學，課程介入前後兩組接受腸造口照護認知測驗、腸造口照護技能自評測試、腸造口照護自我效能測試。課程後兩組再接受課程學習滿意度測試。兩組之同質性檢定以χ2 test、Fisher’s exact test、及unpaired t test進行；組內差異效應以成對樣本 t 檢定(paired t test)分析兩組學習者分別在照護認知測驗、技能自評與自我效能的前後測差異；組間差異效應則納入同質性檢定顯著的共變項(教育程度)，以多變項線性迴歸檢定兩組學習者在照護認知測驗、技能自評、自我效能及課程學習滿意度平均數之差異。

研究結果顯示兩組腸造口照護認知、技能自評及自我效能之後測皆無顯著差異；但組內統計上呈顯著差異，且兩組間學習滿意度得分皆無統計上顯著差異。結論：依本研究結果建議未來護理人員安排在職教育時，多媒體光碟教學能成為輔

The number of patients with ostomy is increasing due to disease factors, but there is no complete education program for clinical nurses. Hope the efficenece of ostomy skills and recognition can elevate by multimedia CD-ROM-based.

This study aimed to investigate the effect of stoma care education intervention by multimedia CD-ROM-based for nurses. Research was performed following the principle of quasi-experimental design. A total 78 nurses from single medical center in Taipei and two of its branches were recruited and randomized to either multimedia or traditional learning. All participants received the pre and post‐test about stoma care recognition, self-evaluation about care skills of stoma and stoma care self-efficacy before and after the learning course. After the different intervention, all participants received the learning satisfaction test. The χ2 test, Fisher's exact test, and unpaired t test was used of homogeneity of two groups. The paired t test was used to analyze the difference in pre and post‐test about stoma care recognition, self-evaluation about care skills of stoma and stoma care self-efficacy in two groups. The difference between the two groups should include the test of homogeneity about categorical variable(education level). The multivariate linear regression was used to examine the difference in pre and post‐test about stoma care recognition, self-evaluation about care skills of stoma and stoma care self-efficacy in two groups.

The research result showed two groups there was no significant difference in the pre and post‐test about stoma care recognition, self-evaluation about care skills of stoma and stoma care self-efficacy, but there was significant difference between two groups statistics. And there was no significant difference in learning satisfaction test. Conclusion: According to the results of this study, it suggested that multimedia CD-ROM-based can become one of the nursing staff in-service education. supplementary teaching strategies in the future.