衛教指導對居家照顧者執行鼻胃管照護之影響

The Effectiveness of Caregiver Education for Caring Nasogastric Tube

本研究採單組前後測類實驗研究設計，以雙語版本鼻胃管照護須知單張為指導準則之工具，探討個別衛教指導對居家照顧者鼻胃管照護的認知、技能及對個案非計畫期間鼻胃管重覆置換次數的影響。本研究採立意取樣，樣本為70位居家鼻胃管留置個案的照顧者，由合格的居家護理師家訪予以評估指導。問卷內容包括人口學資料及鼻胃管照護認知、照護技能量表及非計畫鼻胃管重覆置放紀錄表，共收集一次前測，三次後測，每次間隔一個月，認知為前後測各一次。本研究以SPSS10.0統計軟體，採配對t檢定，Pearson's correlation進行統計分析。結果顯示個別有準則之衛教指導將提升照顧者的認知、技能及降低非計畫期間鼻胃管的重覆置換之次數，呈顯著差異(p<.05)。此研究結果在護理實務上可作為臨床及居家護理人員衛教指導的指引及參考。The study adopted experimental design with single preand post-test method, using bilingual caregiver nasogastric tube guidance as a tool, examining the effectiveness of individualized education on the caregivers' knowledge and skills of caring nasogastric tube. Seventy purposive samples were involved. The qualified home care nurses gave advice and instruction during home visits. The questionnaires included demographic database, knowledge of caring nasogastric tube, caring skill scale and records of unscheduled inserted tube. The data were collected once before intervention and three times after intervention. Each time was at an inferval of one month, using SPSS 10.0, data were analyzed by paired t-test and Pearson's correlation. The results showed that individualized education could improve our caregiver's knowledge(t=16.26, p<.001) and technique(t=16.51, p<.001), and reduce the occurrences of reinserted tube(t=-2.18, p<0.05). This study could be an example and guideline on our clinical usage and home care nursing education.