測試多媒體病人教育方案提昇門診患者的高壓氧知識

Evaluating a Multimedia Education Program to Improve the Knowledge of Hyperbaric Oxygen Therapy among Outpatients

10.6540/NTJN.2015.1.004

黃晴雯(Ching-Uen Huang)；郭惠敏(Sophie Huey-Ming Guo)

高壓氧治療 ； 多媒體 ； 病患教育 ； 知識 ； Hyperbaric oxygen therapy (HBOT) ； Multimedia ； Patient education ； Knowledge

新臺北護理期刊

17卷1期（2015 / 03 / 01）

33 - 44

繁體中文

高壓氧治療是臨床上一項有效、但過程複雜的治療，近年越廣為使用於各疾病。為使治療有效而安全的進行，因此需執行病人教育讓治療的患者對該特殊治療有更多的認識。病人教育方式途徑之中，多媒體科技提供一個新的管道供醫護人員傳遞必要的資訊給患者，唯多媒體應用在高壓氧治療提升患者的認知之成效卻較少探討。本研究將介紹護理人員自行研發「多媒體高壓氧病人教育方案」的過程，並評估該方案在提升患者知識的成效。採單組前後測設計，研究對象為32位北部某區域教學醫院高壓氧治療中心的病患，「多媒體高壓氧病人教育方案」的開發，以容易取得的多媒體軟硬體設備製作影片，提供研究對象治療前觀看，結果顯示研究對象的高壓氧治療知識有顯著提升，介入前為12.31±4.25分，介入之後為15.00±2.24分（t=-3.6，p=0.001）。多媒體學習方式可視為增加病患高壓氧治療的認知的有效方法，有機會解決資源限縮下健康照護服務不足的困難，但未來仍需更多的研究，以了解多媒體輔助高壓氧治療流程具有哪些臨床效果。

Delivering patient education to those who are willing to receive hyperbaric oxygen therapy (HBOT) is an essential task to outpatient services, facilitating the complex procedure of HBOT which accompanies side effects and risks. Multimedia technology has given healthcare providers a new method of delivering educational information to patients. Previous literature has shown the benefits of using multimedia on patient education, but the attempt to enhance patients' knowledge of HBOT has not been widely studied. This study shows the development of a multimedia education program of HBOT and the evaluation of its effect on knowledge. Thirty two outpatients enrolled as the study subject from a tertiary hospital in the north of Taiwan. The subjects received a pre-post test and an intervention of multimedia HBOT. The program was built with an easy-access software and device. Analytic results shows that the level of HBOT knowledge (pre-test mean=12.31, SD=4.25) significantly increased (post-test mean=15.00, SD=2.24, t=-3.6, p=0.001). The multimedia learning method may serve as an effective intervention on enhancing patients' knowledge on HBOT treatment and overcoming barriers of getting access to healthcare service under limited resources. Further studies are still needed to evaluate clinical effectiveness and benefits of using multimedia method in HBOT workflows.

1. 黃金蓮,車慧蓮,葉美玉(2010)。賦能病人教育與護理指導：文獻回顧。醫護科技期刊，12(2)，149-159。
   連結：
2. Bessereau, J.,Tabah, A.,Genotelle, N.,Francais, A.,Coulange, M.,Annane, D.(2010).Middle-ear barotrauma after hyperbaric oxygen therapy.Undersea and Hyperbaric Medicine Journal,37(4),203-208.
3. Boamah, L. M.,Bohren, J. R.,Pentiuk, S.,Baker, R.,Yi, M.,Moyer, M. S.(2010).Development and testing of a CD-ROM program for improving adolescent knowledge of inflammatory bowel disease.Journal of Pediatric Gastroenterology and Nutrition,50(5),521.
4. Bryant, M. D.,Schoenberg, E. D.,Johnson, T. V.,Goodman, M.,Owen-Smith, A.,Master, V. A.(2009).Multimedia version of a standard medical questionnaire improves patient understanding across all literacy levels.The Journal of Urology,182(3),1120-1125.
5. Cohen, S. A.(1981).Patient education: a review of the literature.Journal of advanced nursing,6(1),11-18.
6. Doughty, D. B.(2011).WOC Nurse consult: nonhealing wound.Journal of Wound Ostomy & Continence Nursing,38(2),165-167.
7. Evans, A. W.,Gill, R.,Valiulis, A. O.,Lou, W.,Sosiak, T. S.(2010).Hyperbaric oxygen therapy and diabetic foot ulcers knowledge and attitudes of Canadian primary care physicians.Canadian Family Physician,56(5),444-452.
8. Goldsmith, C., & Wilcox, J. R. (2011). Hyperbaric oxygen therapy: success under pressure. Nurse.com Nursing Spectrum (New York/New Jersey Metro), 23(19), 24-28.
9. Green, B.,Hope, A.(2010).Promoting clinical competence using social media.Nurse Educator,35(3),127-129.
10. Hasson, C.,Cornelius, F.,Suplee, P. D.(2008).A Technology-Driven Nursing Faculty Resource Center.Nurse Educator,33(1),22-25.
11. Keulers, B.,Spauwen, P.(2003).Can face-to-face patient education be replaced by computer-based patient education?.European Journal of Plastic Surgery,26(6),280-284.
12. Kranke, P.,Bennett, M. H.,Martyn­ St James, M.,Schnabel, A.,Debus, S. E.(2012).Hyperbaric oxygen therapy for chronic wounds.Cochrane Database Syst Rev,2
13. Kuffler, D. P.(2011).The role of hyperbaric oxygen therapy in enhancing the rate of wound healing with a focus on axon regeneration.PR Health Sciences Journal,30(1),35-42.
14. Leach, R.,Rees, P.,Wilmshurst, P.(1998).ABC of oxygen: hyperbaric oxygen therapy.BMJ: British Medical Journal,317(7166),1140-1143.
15. Leifer, G.(2001).Hyperbaric oxygen therapy: pre-and posttreatment nursing responsibilities every staff nurse needs to know about.AJN The American Journal of Nursing,101(8),26-34.
16. Makoul, G.,Cameron, K. A.,Baker, D. W.,Francis, L.,Scholtens, D.,Wolf, M. S.(2009).A multimedia patient education program on colorectal cancer screening increases knowledge and willingness to consider screening among Hispanic/Latino patients.Patient Education and Counseling,76(2),220-226.
17. Mills, B. J.(2012).Wound healing: the evidence for hyperbaric oxygen therapy.British Journal of Nursing,21(20-Supplement),28-34.
18. O'Reilly, D.,Linden, R.,Fedorko, L.,Tarride, J. E.,Jones, W. G.,Bowen, J. M.,Goeree, R.(2011).A prospective, double-blind, randomized, controlled clinical trial comparing standard wound care with adjunctive hyperbaric oxygen therapy (HBOT) to standard wound care only for the treatment of chronic, non-healing ulcers of the lower limb in patients with diabetes mellitus: a study protocol.Trials,12(1),69.
19. Soh, C. R.,Kim, S. J.,Chong, S. J.(2013).Hyperbaric oxygen therapy for chronic diabetic wounds.Trends in Anaesthesia and Critical Care,3(5),279-282.
20. Soh, C. R.,Pietrobon, R.,Freiberger, J. J.,Chew, S. T.,Rajgor, D.,Gandhi, M.,Shah, J.,Moon, R. E.(2012).Hyperbaric oxygen therapy in necrotising soft tissue infections: a study of patients in the United States Nationwide Inpatient Sample.Intensive Care Medicine,38(7),1-9.
21. Terndrup, T. E.,Ali, S.,Hulse, S.,Shaffer, M.,Lloyd, T.(2013).Multimedia education increases elder knowledge of emergency department.Western Journal of Emergency Medicine,14(2),132-136.
22. The Undersea and Hyperaric Medical Society (2012). Indications for Hyperbaric Oxygen Therapy 2012(May 1). Retrieved from http://membership.uhms.org/?page=indicationswebsite: doi:http://membership.uhms.org/?page=indications
23. Wilson, E. A.,Makoul, G.,Bojarski, E. A.,Bailey, S. C.,Waite, K. R.,Rapp, D. N.,Baker, D.W.,Wolf, M. S.(2012).Comparative analysis of print and multimedia health materials: A review of the literature.Patient Education and Counseling,89(1),7-14.
24. Wofford, J. L.,Smith, E. D.,Miller, D. P.(2005).The multimedia computer for office-based patient education: a systematic review.Patient Education and Counseling,59(2),148-157.
25. Xiuming, J.,Ying, C.(2010).The analysis and nursing of applying hyperbaric oxygen therapy incipiently on severe brain injury patients.Today Nurse,3,001.
26. Yeh, M. L.,Chen, H. H.,Liu, P. H.(2005).Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement.Patient Education and Counseling,57(2),217-224.
27. 王賢和(2009)。高壓氧治療的不同面向。臺灣醫界雜誌，52(6)，33-34。
28. 武香君,盧柏樑,陳彥旭,潘慧娟,馮明珠(2011)。探討個別性衛教對結核病患疾病認知、態度及行為意向之成效。護理雜誌，58(6)，43-53。
29. 陳姿廷,丁玉佩,郭秋雅,呂佩珍(2010)。以影音多媒體護理指導提升門診癌症病人化學治療認知的正確率。腫瘤護理雜誌，10(1)，39-52。
30. 陳淑君,雷琦瑋(2003)。高壓氧治療重症病患之護理。護理雜誌，50(4)，87-92。
31. 羅惠敏,徐南麗,李麗蘭,林哲先(2005)。多媒體影音光碟衛教介入對婦女行子宮切除手術醫療決策之成效。慈濟護理雜誌，4(3)，64-73。

1. 黃馨,陸詩,陳佳瑋,馬定慧(2022)。降低住院病人跌倒發生率。源遠護理，16(增訂刊)，40-48。
2. 蔣玉滿,郭美玲,柯幸芳,吳淑芬(2019)。運用ADDIE教學模式提升新進護理人員腸造口照護完整率。腫瘤護理雜誌，19(增訂刊)，169-182。
3. 羅心怡,鄭青青,柯秀惠,林秋子,吳孟慈,毛亮月(2023)。提升高壓氧治療作業完整性。長庚護理，34(3)，46-59。
4. 羅翊邦,李凱琳,吳雪紅,王瓊瑛(2018)。運用多媒體提升護理人員痔瘡手術前後護理指導認知正確率與完整率之改善專案。源遠護理，12(2)，41-49。
5. 羅俞婷,賴慧如,葉晃伶,楊春紀(2022)。提升初次血液透析門診病人護理指導滿意度。臺灣腎臟護理學會雜誌，20(2)，29-43。