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護理人員參與放射線治療皮膚照護工作坊之學習成效探討

論文名稱(中/英文) 研究生 指導教授
護理人員參與放射線治療皮膚照護工作坊之學習成效探討
The Learning Effectiveness of Nurses Participated in Radiation Skin Care Workshop
李玉珊 高毓秀博士
[  摘要  ]
接受放射線治療者,60-95%會出現皮膚反應,若未妥善照護,易出現身心不適,嚴重會影響治療甚至導致死亡。可藉由提供護理人員放射線治療皮膚照護的教育訓練與高擬真情境學習,增進其知識、態度與技能,進而提升照護品質。因此本研究主要探討放射線治療皮膚照護工作坊介入對護理人員的學習成效。
研究採類實驗設計,以立意取樣,選取北區某醫學中心及區域教學醫院有照護放射線治療病人經驗之護理師(N=34)為研究對象,提供放射線治療皮膚照護工作坊後,以「放射線治療皮膚照護問卷」及「直接觀察臨床技術評量」進行前後測評量。放射線治療皮膚照護工作坊介入後,護理人員於放射線治療皮膚照護的知識評量後測優於前測4.65分(SD±1.824),進步程度達66%;整體放射線治療皮膚反應照護技術(SD±0.69)前後測有顯著差異;於皮膚照護的同理心、信心與照護意願有顯著提升。
研究結果顯示放射線治療皮膚照護工作坊對護理人員於放射線治療皮膚照護知識與技能有顯著學習成效,因此本研究之教學形式可作為日後放射線治療皮膚照護教育訓練規劃之參考。
[ Abstract ]

There are 60-95% of cancer patients may occur acute and chronic skin reactions when they receive radiation therapy. If not properly care, there will be physical and mental uncomfortable, and even affect treatment lead to death by providing radiation skin care nursing education and high realistic learning situations, increase their knowledge, attitudes and skills, and thus enhance the quality of care. Therefore, the purpose of this study was to explore radiation therapy skin care workshop intervention effectiveness of learning for nurses 
This study is quasi-experimental design study. A quasi-experimental research method was adopted and purposive sampling was conducted at medical center and regional teaching hospital in North Taiwan.Thirty-four samples for selection nurses of radiation therapy patient care experience. After to provide radiation skin care workshops, then it is evaluated by “The questionnaire of radiation skin care and direct observation of procedural skills”. The results indicated the, the assessment measuring of skin care knowledge are 4.65 points. It’s better than the pre-test (SD ± 1.824) for 66%. Overall radiation therapy skin reactions care technology (t=-19.28, p=0.001, <0.05), it’s better than the pre-test(SD ±0.69).The empathy, confidence and willingness to have significantly improved.
The results show that radiation therapy skin care workshop for nurses in radiation therapy skin care knowledge and skills have significant learning outcomes. The teaching of the present study can be used as future radiation therapy skin care education and training planning reference Therefore, this kind of teaching can be used as a reference for future radiation therapy skin care education and planning.