DSpace community: 附設醫院護理部

Increasing Nurses's Knowledge of Diabetic Self Care Education

Wed, 21 Oct 2009 10:58:55 GMT

title: Increasing Nurses's Knowledge of Diabetic Self Care Education

Burn Patients' Knowledge, Health Beliefs and Compliance Behavior toward Pressure Garment

Wed, 21 Oct 2009 10:56:49 GMT

title: Burn Patients' Knowledge, Health Beliefs and Compliance Behavior toward Pressure Garment abstract: 目的：本研究在探討燒傷病患彈性衣穿著之知識、健康信念與遵從行為，並進一步了解其相關因素。病人與方法：採描述性橫斷式調查法，以立意取樣方式，選取東部某準醫學中心燒傷病房，二年內出院之43位燒傷病患為研究對象，研究工具包括燒傷病患病患活動功能自主程度量表、彈性衣穿著知識、健康信念與遵從行為量表。結果：（1）燒傷病患彈性衣穿著知識答對百分率為79%，健康信念平均值為53 . 7分，趨於正向，彈性衣穿著遵從率僅為61%。（2）彈性衣穿著知識、健康信念及遵從行為呈正相關。（3）逐步迴歸分析發現：教育程度、燒傷面積可解釋燒傷病患彈性衣穿著知識25%總變異量；而教育程度、社經地位、燒傷面積能解釋燒傷病患彈性衣穿著健康信念總變異量的31%；燒傷面積、健康信念、穿著時間即教育程度為彈性衣穿著遵從行為重要預測變項，可解釋51%之變異量。結論：本研究結果，有助於了解燒傷病患在居家期間對彈性衣穿著之知識、健康信念與遵從行為現況，以作為臨床護理人員提供出院衛教及醫療照護之參考。 Objective: The aim of this study was to investigate burn patients knowledge, health beliefs and compliance behaviors toward wearing a pressure garment. In addition, we also tried to explore factors influencing these results. Patients and Methods: This is a descriptive and cross- sectional study. The subjects were 43 burn patients discharged from a medi-cal center in eastern Taiwan. Patient’s activity levels, knowledge, health beliefs, and pressure garment compliance were measured. Results: Findings of this study were as follows: (1) The rate of correct responses in the pressure garment knowledge assessment was 79%. Health beliefs showed median scores, and the compliance rate was 61 %. (2) The correlation between patients’ knowledge , health beliefs, and compliance behaviors in wearing pressure garments was positive. (3) Educational level and the total body area burned were significant predictors of patients’knowledge of pressure garments. These two predictors explained 25% of the total variance in pressure garment knowledge. Educa-tional level, socioeconomic status, and the total body area burned were significant predictors of patients’ health beliefs. These three predictors explained 31% of the total variance in patients’ health beliefs. The total body area burned, health beliefs, amount of time wearing the garments and educational level were significant predictors of burn patients’ pres-sure garment compliance behaviors. These four predictors explained 51% of the total variance in pressure garment compliance behaviors. Conclusions: This study will help health personnel understand the knowledge, health beliefs and compliance behaviors toward pressure garment of burn patients during home care. It can be used as a reference for caregivers to organize discharge plans and provide better care for burn patients.

左心室發育不全症候群及其護理

Wed, 21 Oct 2009 10:55:09 GMT

title: 左心室發育不全症候群及其護理 abstract: 本文探討先天性心臟病死亡率極高（95~100%）的左心室發育不全症候群，其病理、生理層面、主要手術方式、及護理重點。左心室發育不全症候群為一種複雜性合併多種先天性心臟異常的疾病，包括：升主動脈發育不全、左心室發育不全、嚴重主動脈瓣狹窄或閉鎖、主動脈弓窄縮、二尖瓣狹窄或閉鎖、心室中膈缺損、心房中膈缺損、開放性動脈導管。目前對此疾病的治療，並無合適的內科療法，僅能採取外科 Norwood術式的治療，Norwood術後加護照顧必須非常密切的評估及監測手術後血液動力學，以及呼吸參數等各種數值；而維持合適的肺及全身血流量，則為手術後護理照顧上最大的課題。加護病房專業護理人員必須協助醫生全天候二十四小時照顧病人，仔細觀察、縝密思考，以及正確的判斷，以提供Norwood術後高品質的照護，提高其存活率。

Increse the Teaching Rate of Sexual Knowledge for Home Care Nurses

Wed, 21 Oct 2009 10:53:39 GMT

title: Increse the Teaching Rate of Sexual Knowledge for Home Care Nurses abstract: 護理指導是護理人員執業的獨特功能，然而因為「性」常被國人視為禁忌的問題，因此在居家護理個案中正確的性知識傳遞，不只是個案及照顧者不敢問，往往一般的護理人員亦無能力指導。本專案的目的在瞭解現階段居家護理人員對性知識的正確認知及其指導現況，將居家護理個案常遇到性問題，透過彙整各相關文獻並經各專業小組討論,制作成衛教單張及性知識諮商準則，經由護理人員在職教育方式以提高居家護理師性知識指導率。方案施行後，護理人員獲得性知識並具有衛教指導能力從25﹪提升至100﹪，對個案性知識的指導率從6﹪提升至53﹪，護理記錄中具體呈現性指導記錄者則從0%提升至100%。當個案及照顧者提出性方面的相關問題時，居家護理師不僅能提供「知」的需求且也具「教」的能力，更助於照顧品質的提升。