衛教介入對頭部外傷病人主要照顧者焦慮與疾病知識之影響

The Effects of Education Program on Anxiety and Knowledge for the Primary Caregiver of Head Injury Patients

本研究的主要目的是要瞭解頭部外傷病人主要照顧者的焦慮程度。研究對象以東區某醫學中心神經外科中重度頭部外傷病人之主要照顧者，使用衛教手冊指導為介入方法，以情境焦慮量表來探討對頭部外傷病人主要照顧者焦慮狀況之影響。研究結果發現34位實驗組及34位對照組一週後之情境焦慮前測平均得分別為58.29±9.75分及55.73±10.96分。實驗組情境焦慮前、後測得分差異為22.68±10.87分（p＜.01），而對照組情境焦慮平均得分前後測得分差異為11.44±11.37分（p＜.01），實驗組在前測的知識平均得分為15.56±2.69分，對照組為15.15±2.42分，實驗組前、後測知識得分差異為4.23±2.57分（p＜.01），對照組知識得分前、後測差異為1.05±2.42分（p＜.01）。研究結果顯示使用衛教手冊明顯降低主要照顧者的焦慮情形並能增加相關知識，此衛教手冊可做為護理人員給予頭部外傷主要照顧者護理評估及措施的參考工具，以提升他們的身心健康。The primary purpose of this study was to examine the degree of anxiety of the primary caregiver of patients of head injury. The subject of study was the primary caregiver of patients of medium and serious head injury at the neurological surgery of a medical center in the east part of Taipei, while instruction of hygiene education manual was employed as an intervention measure, and State Anxiety Inventory was used to investigate the impact on anxiety status of the primary caregiver for patients of head injury. The research results revealed that the average score of pre-test scenario anxiety one week after among 34 individuals of experiment and control groups were 58.29±9.75 and 55.73±10.96, respectively. The difference between pre-test and post-test for scenario anxiety of the experiment group was 22.68±10.87 (p＜.01), while the difference of the average score between pre-test and post-test for scenario anxiety was 11.44±11.37 (p＜.01). In addition, the average score of pre-test knowledge for the experiment group was 15.56±2.69, while it was 15.15±2.42 for the control group. Therefore, the score difference between pre-test and post-test for the experiment group was 4.23±2.57 (p＜.01), while it was 1.05±2.42 (p＜.01) for the control group. The statistical analysis of pre- and post-test results indicated that if hygiene education manual can be used, it can prominently reduce the anxiety of the primary caregiver and increase related knowledge. Furthermore, hygiene education manual can also be used as the reference tool for nursing staff to provide nursing evaluation and measures for the primary caregiver who takes care of patients of head injury, helping to enhance their physical and mental health.