系統性護理指導對兒科加護病房初次住院病童母親壓力之影響

Effects of a Systematic Nursing Care Program on Mother Stress of Children First Admitted to Pediatric Intensive Care Unit

10.6320/FJM.2008.12(4).02

范圭玲(Guei-Ling Fann)；高碧霞(Bih-Shya Gau)

兒科加護病房 ； 母親 ； 壓力源 ； 多媒體互動式光碟教學系統軟體 ； pediatric intensive care unit ； mother ； stress ； multimedia interactive videodisc learning system

台灣醫學

12卷4期（2008 / 07 / 01）

379 - 389

繁體中文

A nonequivalent control group pretest-posttest quasi-experimental design was applied in the study. Children admitted to a certain tertiary medical center in northem Taiwan were conveniently recruited. Sixty patients were assigned into the control and experimental groups, which received regular nursing care or systematic nursing instruction, respectively. Mothers', stresses were measured before and after all nursing instructions. Results showed that differences of mothers', stress levels between mothers who participate in the experimental and control groups were found for children's condition, medical explanation, trust in medical personnel, alteration of parenting roles and participation in childhood care, monitor alarms, invasive treatment (p＜0.05) were further decreased significantly. Comparing both the mothers in the experimental group and control group, the reduction of mothers stress levels is more prominent using systemic nursing instructions. As summary, this study demonstrated that implementing systematic nursing instruction using multimedia interactive videodisc learning system in clinical practice provided more actual and clear information to mothers, and significantly decreased their stress levels. Therefore, systematic nursing instructions are strongly recommended for enhancing nursing care in PICU, and provide a valuable tool to promote nursing reseach and clinical intensive care quality.

A nonequivalent control group pretest-posttest quasi-experimental design was applied in the study. Children admitted to a certain tertiary medical center in northem Taiwan were conveniently recruited. Sixty patients were assigned into the control and experimental groups, which received regular nursing care or systematic nursing instruction, respectively. Mothers', stresses were measured before and after all nursing instructions. Results showed that differences of mothers', stress levels between mothers who participate in the experimental and control groups were found for children's condition, medical explanation, trust in medical personnel, alteration of parenting roles and participation in childhood care, monitor alarms, invasive treatment (p＜0.05) were further decreased significantly. Comparing both the mothers in the experimental group and control group, the reduction of mothers stress levels is more prominent using systemic nursing instructions. As summary, this study demonstrated that implementing systematic nursing instruction using multimedia interactive videodisc learning system in clinical practice provided more actual and clear information to mothers, and significantly decreased their stress levels. Therefore, systematic nursing instructions are strongly recommended for enhancing nursing care in PICU, and provide a valuable tool to promote nursing reseach and clinical intensive care quality.