比較病患與其主護護理人員對術前衛教內容重要程度之看法

A Comparison of Patients' and Their Primary Nurses' Perspectives on the Importance of Preoperative Teaching

10.6225/JEBN.2.3.219

許玉真(Yu-Chen Hsu)；周汎澔(Fan-Hao Chou)；章順仁(Shun-Jen Chang)

病患 ； 護理人員 ； 術前衛教 ； 重要程度 ； patient ； nurse ； preoperative teaching ； importance

實證護理

2卷3期（2006 / 09 / 01）

219 - 228

繁體中文

This study examined differences in perspectives between patients and their primary nurses in relation to four domains of preoperative teaching (psychosocial support, role of patients, post-operative situation, and feeling). Patients' and nurses' perceptions of the importance of receiving/or providing preoperative teaching were evaluated. Several demographic factors that might be associated with perceptions were also examined. This was a descriptive comparative study and was based on a convenience sample of patients and their primary nurses from three hospitals in Kaohsiung City. In total 148 pairs of patients and nurses completed the study. The preoperative information scale (PIS) (patients' and nurses' versions) was used to assess subjects' perceptions. Three major findings were: (1) Both patients and nurses believed that providing preoperational teaching was moderately important or important. They also agreed that preoperational teaching was important in each domain, with the exception of the feeling domain (z=-3.76, p＜.01); (2) There was a correlation between patients with a spouse, past medical history, and who tended to be slightly older and the psychosocial support, role of patients, and feeling domains of preoperative teaching (p＜.05); and (3) There was a correlation between nurses' education levels, experience of a variety of wards, and years of experience and the psychosocial support, post-operative situation, and feeling domains of preoperative teaching (p＜.05). The results of this study might be used to remind nurses to focus more on the ”feeling domain” of preoperative teaching in order to reduce differences in perspectives between patients and their primary nurses.

This study examined differences in perspectives between patients and their primary nurses in relation to four domains of preoperative teaching (psychosocial support, role of patients, post-operative situation, and feeling). Patients' and nurses' perceptions of the importance of receiving/or providing preoperative teaching were evaluated. Several demographic factors that might be associated with perceptions were also examined. This was a descriptive comparative study and was based on a convenience sample of patients and their primary nurses from three hospitals in Kaohsiung City. In total 148 pairs of patients and nurses completed the study. The preoperative information scale (PIS) (patients' and nurses' versions) was used to assess subjects' perceptions. Three major findings were: (1) Both patients and nurses believed that providing preoperational teaching was moderately important or important. They also agreed that preoperational teaching was important in each domain, with the exception of the feeling domain (z=-3.76, p＜.01); (2) There was a correlation between patients with a spouse, past medical history, and who tended to be slightly older and the psychosocial support, role of patients, and feeling domains of preoperative teaching (p＜.05); and (3) There was a correlation between nurses' education levels, experience of a variety of wards, and years of experience and the psychosocial support, post-operative situation, and feeling domains of preoperative teaching (p＜.05). The results of this study might be used to remind nurses to focus more on the ”feeling domain” of preoperative teaching in order to reduce differences in perspectives between patients and their primary nurses.