多媒體輔助教學介入對長期照護機構照顧服務員皮膚照護學習成效之研究

The Effects of Multimedia-Assisted Instruction on the Skin Care Learning of Nurse Aides in Long-Term Care Facilities

背景：皮膚照護是長期照護機構照顧服務員主要照護工作之一，其照護知識、態度與技能影響照護品質甚鉅，然而照顧服務員因工作時間、人力排班等因素使教育訓練成效受到影響，發展適宜及有效的教學策略對長期照護機構照顧服務員教育訓練是重要的。目的：探討多媒體輔助教學介入對長期照護機構照顧服務員皮膚照護學習成效。方法：本研究採類實驗設計，以方便取樣，選取桃園五家長期照護機構照顧服務員共96人進行施測。實驗組介入三週多媒體輔助教學，控制組未接受多媒體輔助教學。兩組以「長期照護機構照顧服務員皮膚照護調查問卷」及「皮膚照護行為檢核表」進行前後測評量。結果：（一）多媒體輔助教學介入後，實驗組於皮膚照護知識、態度、行為及皮膚照護行為檢核後測得分顯著高於前測得分。（二）兩組前測經共變項進行分析後，實驗組在皮膚照護知識、態度、行為及皮膚照護行為檢核後測得分，顯著高於對照組。結論：多媒體輔助教學對長期照護機構照顧服務員皮膚照護有顯著學習成效，故建議長期照護機構未來可多利用多媒體輔助教學作為照顧服務員教育訓練之策略。

Background: Skin care is an important responsibility of nurse aides in long-term care facilities, and the nursing knowledge, attitudes, and skills of these aides significantly affects quality of care. However, the work schedule of nurse aides often limits their ability to obtain further education and training. Therefore, developing appropriate and effective training programs for nurse aides is critical to maintaining and improving quality of care in long-term care facilities. Purpose: This study investigates the effects of multimedia assisted instruction on the skin care learning of nurse aides working in long-term care facilities. Methods: A quasi-experimental design and convenient sampling were adopted in this study. Participants included 96 nurse aides recruited from 5 long-term care facilities in Taoyuan County, Taiwan. The experimental group received 3 weeks of multimedia assisted instruction. The control group did not receive this instruction. The Skin Care Questionnaire for Nurse Aides in Long-term Care Facilities and the Skin Care Behavior Checklist were used for assessment before and after the intervention. Results: (1) Posttest scores for skin care knowledge, attitudes, behavior, and the skin care checklist were significantly higher than pretest scores for the intervention group. There was no significant difference between pretest and posttest scores for the control group. (2) A covariance analysis of pretest scores for the two groups showed that the experimental group earned significantly higher average scores than their control group peers for skin care knowledge, attitudes, behavior, and the skin care checklist. Conclusions: The multimedia assisted instruction demonstrated significant and positive effects on the skin care leaning of nurse aides in long-term care facilities. This finding supports the use of multimedia assisted instruction in the education and training of nurse aides in long-term care facilities in the future.