針灸護理行動APP開發與成效初探

Development and Effects of Mobile Application for Acupuncture Care

目的：本研究旨在開發行動APP並應用於針灸照護，繼而評值訊息傳遞品質與系統易用性之成效，並測試其與傳統方式時間需求的差異。方法：採用類實驗設計，以方便取樣於某地區醫院針傷科門診收案30位醫護人員，分為實驗組與對照組，針對各組施針100位病人記錄記針及核針時間需求測量，並以訊息傳遞品質調查表及系統易用性量表收集資料。結果：訊息傳遞品質之面向平均得分為3.90～4.01，與檢定值比較達顯著差異（p＜.05），表行動APP具訊息完整性、正確性及及時性。系統易用性量表得分62.17已超過平均數50，表示行動APP易用性為可接受。行動APP與傳統記針板的記針及核針時間需求有顯著差異（p＜.001），表使用行動APP所需的記針及核針時間皆較多。結論：針灸照護行動APP提供之訊息傳遞品質佳，能較傳統記針版更清楚地提供有效溝通。雖執行記針及核針需花較多的時間，但使用者對系統易用性具滿意度。為增加醫護溝通品質，未來若推廣此行動APP前提供更完備的教育訓練，以增加醫護人員操作熟悉度，進而維護針灸護理品質及病人安全。

Objectives: This study developed and applied mobile application (APP) for acupuncture care, and then tested its effect on the quality of message delivery and usability, and compared it with traditional regimen in time requirement. Methods: This quasi-experimental study recruited a convenience sample of 30 medical staff from acupuncture clinics in a regional hospital, and allocated them into the experimental or control group. Data were collected from 100 patients in each group by recording time requirement for acupuncture procedure, by using the quality of message delivery scale and system usability scale. Results: The quality of message delivery scores averaged 3.90~4.01, which was significantly different from an pre-specified value (p< .05), indicating that the mobile App's integrity, correctness and timeliness. The average system usability scores was 62.17 (＞50), which indicated ease of use. There was a significant difference between using the mobile APP and the traditional regiment in time required for processing acupuncture treatment The time for mobile APP regiment was longer than that for traditional regiment. Conclusion: The mobile APP provides superior quality of message delivery and it could be used to communicate in clinics. Although this mobile APP required more time in acupuncture procedure than the traditional regimen, the users were satisfied with it usability. To improve the communication quality of medical professionals, education and practice should be provided in the future, which help them to familiarize the system so as to promote the quality care of acupuncture and patient safety.