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| 題 名 | 建立傷口照護標準--以壓瘡傷口為例=Building Wound Care Standard Model--Patients Suffering from Pressure Ulcer |
|---|---|
| 作 者 | 周繡玲; 楊立華; 馮容芬; | 書刊名 | 亞東學報 |
| 卷 期 | 29 2009.06[民98.06] |
| 頁 次 | 頁243-256 |
| 分類號 | 419.73 |
| 關鍵詞 | 壓瘡傷口; 傷口照護標準; 實證護理; Pressure ulcer; Wound care standard; Evidence-based nursing; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 摘要 壓瘡在急性病房及社區健康照護機構是非常常見的問題,壓瘡傷口處理對護理人員是一種挑戰與學習,不 但傷口治療需花費龐大經費,對病人而言影響其身、心、靈的完整性,而且也增加健康照顧系統的醫療資源。 本研究目的在探討臨床護理人員對壓瘡傷口照護的認知,再經傷口照護標準之介入性措施,觀察臨床護理人員 實際執行壓瘡傷口照護行為及病人傷口癒合情形,以建構傷口照護標準。選取北縣某區域教學醫院的六個急性 病房,以隨機抽樣方式將病房分為實驗組及控制組,實驗組病房護理人員需接受傷口照護標準的教育訓練並依 其標準執行傷口照護;控制組則依照原來照護方式執行,記錄二組照護壓瘡傷口的行為及病人壓瘡傷口癒合情 形。共收集六個急性病房的護理人員103 位(實驗組61 位、控制組42 位),以自擬結構式「壓瘡傷口照護知識 問卷」評估護理人員對壓瘡傷口照護的認知,再以「傷口護理行為評估表」來評估10 位Ⅰ、Ⅱ級病人傷口癒合 情形,所得資料以描述性統計、t-test 進行檢定分析。研究結果發現:一、有接受壓瘡傷口照護標準教育訓練之 護理人員,在壓瘡傷口認知平均得分高於無接受壓瘡傷口照護標準之護理人員,並有統計上的顯著差異(p< 0.05);二、護理人員在臨床護理年資對壓瘡傷口認知有統計上的顯著意義 (p<0.05);三、依照壓瘡傷口照護標 準執行壓瘡傷口護理,病人壓瘡傷口癒合狀況優於傳統壓瘡傷口照護之個案。根據本研究結果,建立傷口照護 標準模式,期望此傷口照護標準模式可提供臨床護理人員對壓瘡傷口照護認識外,亦可提供護理行政者及教育 者依此標準編列傷口照護指引手冊及在職教育訓練規劃,進而提升傷口照護品質。 |
| 英文摘要 | Abstract Pressure ulcers remain a significant problem in the acute and community health settings despite being largely preventable. It is a challenge for nurses to manage the wound care of pressure ulcers. The costs of treating established pressure ulcers are enormous. In addition, the pressure ulcers not only impact the afflicted individual’s physical, psychological, and spiritual wholeness, but also increase the medical resources of the health care system. The purpose of this study was to explore the nurses’ knowledge on wound care for pressure ulcers, provide training for nursing staff on wound care standards, and evaluate the nurses caregiving behaviors of pressure ulcers and the patient’s outcomes of wound healing. There were 103 nurses (experimental group 61, control group 42) and 10 patients (5 in each group) enrolled into the study. The investigators developed a structured questionnaire on nurses’ knowledge. An assessment scale of caregiving behavior in wound care was adopted to evaluate the patients’ wound healing. Descriptive statistics, t test and analysis of covariate variances were used to analyze the data. The results showed that (1) there was a significant difference in the care of pressure wound between nurses whom received training and those did not (p < 0.05), (2) there was also significant difference in knowledge of pressure wound and nurses clinical experience (p < 0.05), and (3) the wound healing in the patients with standard wound care were better than those with conventional procedure care. In conclusion, the study results provide evidence for clinicians to establish wound care standards on pressure ulcers. It is expected that the model of wound care standards can enhance nurses’ knowledge on the care of pressure ulcers. Furthermore, nursing administrators and educators could develop guidelines of wound care and the on-job training program for nurses based on the study results to improve the care quality of wound. |
本系統中英文摘要資訊取自各篇刊載內容。