運用互動式教材提升肝臟移植術後病人藥物認知程度

Using Interactive Teaching Materials to Enhance Medication Knowledge in Post-Liver Transplant Patients

背景：肝臟移植術後病人需服用多種藥物，以維持良好的移植器官功能，但護理師經常接獲病人反映紙本衛教單張不便隨身攜帶，並表示藥物指導單張內容枯燥生硬，且字體及圖片太小，閱讀起來十分吃力，降低主動查閱指導單張的意願，護理人員口述衛教時常感覺速度太快而跟不上，造成病人對於學習藥物認知成效不佳，因此引發筆者撰寫此專案之動機。
目的：藉由瞭解臨床衛教執行現況及困難，深入分析及探討改善措施，期望改善肝臟移植術後病人衛教學習成效，提升病人藥物認知程度。
解決方案：通過分析問題，發現現行使用之紙本衛教手冊衛教成效不佳，因此，錄製新肝小學堂藥物衛教影片、建置E起學習新肝寶貝用藥手冊、製作互動式教材新肝時刻表識藥圖卡組及新肝隨堂考識藥圖卡組、增設新肝寶貝Q&A、制定監控機制。
結果：病人藥物認知程度由67.2%提升至94.8%，病人滿意度由79.2%提升至98.5%，達到專案目標。
結論：使用新肝小學堂影片、E起學習用藥手冊、新肝時刻表及隨堂考識藥圖卡組、新肝寶貝Q&A，能提升病人藥物認知程度，亦能增加服藥遵從性，維持移植器官功能，改善生活品質。

Background & Problems: Liver transplant recipients require lifelong polypharmacy to maintain graft viability and prevent rejection. However, nurses frequently receive patient complaints regarding the inconvenience of carrying printed educational materials, which are often described as unengaging, text-heavy, and difficult to read due to small font size and unclear images. In addition, patients report difficulties retaining information from verbal counseling sessions, often due to rapid delivery and lack of reinforcement, leading to suboptimal medication literacy. These issues highlight the need for an improved, patient-centered education approach and provided the impetus for this quality improvement project.
Purpose: This project was designed to assess current medication education practices and barriers among post-liver transplant patients and then implement targeted interventions aimed at improving patient medication comprehension and self-management capabilities.
Resolutions: The results of the problem analysis confirmed the inadequacy of using current paper-based manuals as educational tools. Therefore, new educational videos on medication were recorded, an“E-learning New Liver Baby Medication Log”was established, a“New Liver Timetable Medication Identification Card Set”and“New Liver Pop Quiz Medication Identification Card Set”were created, a“New Liver Baby Q&A”was added, and a monitoring mechanism was established.
Results: Patient medication knowledge increased from 67.2% pretest to 94.8% posttest and patient satisfaction increased from 79.2% pretest to 98.5% posttest, achieving the project goals.
Conclusions: Using the new educational videos, E-learning medication log, liver timetable and pop quiz medication identification card sets, and liver baby Q&A can improve patient medication knowledge, increase their medication adherence, help maintain transplanted organ functions, and improve quality of life.