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多媒體輔助教學介入對護理人員失禁性皮膚炎照護學習成效之探討

論文名稱(中/英文) 研究生 指導教授

多媒體輔助教學介入對護理人員失禁性皮膚炎照護學習成效之探討
The LearningEffectiveness of Multimedia Self-Learning CD-ROM Intervention on Nurses Care of Patients

With Incontinence-associated dermatitis

徐千媚 高毓秀博士
[  摘要  ]
本研究旨在探討加護病房護理人員經過多媒體自學光碟介入,其照護失禁性皮膚炎病人之學習成效。研究方法採類實驗設計;研究對象為台北市立某醫學中心加護單位護理人員,共80人;實驗組40人接受兩週之自學光碟介入,對照組40人未採取任何介入措施;於介入措施的前後兩組,皆接受前後測。以SPSS 21.0進行資料建檔與分析,採次數分配、百分率、平均數、標準差、Paired t-test、ANCOVA等方法進行統計分析。研究結果顯示:(一)自學光碟介入後,在失禁性皮膚炎照護知識之後測得分皆顯著高於前測。(二)自學光碟介入後,在失禁性皮膚炎照護態度中,後測得分並無高於實驗組。(三)自學光碟介入後,在失禁性皮膚炎照護行為得分實驗組高於對照組,但未達顯著。(四)自學光碟介入後,在失禁性皮膚炎照護行為檢核得分皆顯著高於前測。因此,本研究介入之失禁性皮膚炎病人多媒體自學光碟,能提升加護病房護理人員之照護失禁性皮膚炎病人之學習成效,是符合護理人員在職訓練教育的教材教法。建議未來研究「多媒體自學光碟」之設計須依據訊息處理理論、多媒體學習認知理論、編序教學設計,並以學習者為中心;在護理人員在職教育使用光碟介入的同時,建議對於態度方面可增加臨床反面實例,使學習者能有反思機會;亦可擴大研究對象,採長期追蹤方式,評量失禁性皮膚炎多媒體自學光碟介入之成效。
[ Abstract ]

The aim of this study is to discuss the effect of self-learning DVD on nurses caring for Incontinent-associated dermatitis (IAD) patients in the ICU. 
Method: A total of eighty nurses were enrolled from the intensive care unit of Taipei medical hospital. Forty nurses were in the experimental group who accepted a 2 weeks multimedia assisted instruction. Forty nurses in the control group continued the routine care. Both groups received a pre and post tests prior to the study. Date was analyzed by SPSS 21.0 software package with deductive statistics, frequency distribution, percentage, mean, standard deviation, paired t-test, ANCOVA statistical analysis and other methods. The result showed: (1) The knowledge associated with IAD was significantly higher in the experimental group. (2) The attitude associated with caring for IAD patient showed no difference upon post-tests in both groups. (3) The behavior associated with caring for IAD patients was higher in the experimental group, although not significant. (4) The behavior check-list scores were higher in the post-tests in both groups. Therefore, the multimedia self-learning method enhanced the learning efficiency in the ICU nurses, which is in line with the on-the-job training provided by the hospital. This study recommended future researches related to the “multimedia self-learning CD” should be focused on information process theory, multimedia learning cognitive theory, annotate instructional and learner-centered deign. It is also recommended to increase Clinical negative examples on attitude, so that students can have the opportunity to reflect. Broadening the research object, adopt the long-tern tracking method to evaluate the efficiency on the multimedia self-learning method in caring for IAD patients.