建置多媒體影音護理指導提升人工膝關節置換術病人自我照顧認知的正確率

Using Multimedia Nursing Guidance to Improve Self- Care Accuracy in Patients with Total Knee Replacement

本專案的目的為提升人工膝關節置換術病人對自我照顧認知的正確率，並提升護理指導的滿意度。由於現今社會電子科技日漸發達，資訊系統應用於醫療服務上也越來越普及，故本專案建置一套多媒體護理指導系統運用於接受人工膝關節置換術後之病人護理指導，來提升病人的自我照護認知。配合資訊系統的發達，使用互動式多媒體教學，透過生動活潑的影音畫面，讓病人可自由點選所需學習的內容，以提升學習者的興趣及學習效果，達到以病人為中心完整持續性之照顧，提供個案術前、術後返家需要之護理指導。實施改善方法後發現實施人工膝關節置換術病人對自我照顧認知正確率提升至90%、對護理指導滿意平均得分達4.88分，故本專案確實能改善病人的自我照顧認知並提升護理指導的滿意度。

The purpose of this project was to improve the accuracy of self-care performance in patients undergoing total knee replacement and increase their satisfaction level toward nursing care. Nowadays, with the advancement of information technology, its application in health care becomes more and more popular. Our project aimed to create a multimedia nursing guidance system for patients undergoing artificial knee joint replacement to improve accuracy of patients' self-care performance. This particular information system used interactive multimedia teaching technology. Through live videos and image interaction, patients could click on the contents they need to learn freely. It enhanced patients' interests and improved outcomes of learning to achieve the goal of patient-centered continuous care, providing care instructions before surgery and after returning home. After the project was implemented, it was found that accuracy of self-care performance increased up to 90% and the average score of satisfactory toward nursing guidance increased to 4.88. The results demonstrated that this system significantly improved patients' self-care ability and increased satisfaction toward nursing guidance.