多媒體衛教對內視鏡逆行性膽胰管攝影術病人焦慮與滿意度之探討

Exploration of Multimedia Education on Anxiety and Satisfaction in Patients undergoing Endoscopic Retrograde Cholangio-Pancreatography

本研究旨在探討內視鏡逆行性膽胰管攝影術檢查多媒體衛教對病人焦慮及照護滿意度之成效。採用隨機抽樣研究設計，以北部某教學醫院接受內視鏡逆行性膽胰管攝影術檢查之台北院區病房病人為研究對象，分成實驗組及對照組各68人。實驗組觀看內視鏡逆行性膽胰管攝影術檢查多媒體衛教，對照組接受傳統單張衛教。研究工具包括焦慮及照護滿意度量表。研究結果顯示衛教前兩組基本資料為同質性，實驗組在多媒體衛教介入後的焦慮比對照組觀看傳統紙本衛教之焦慮低且達顯著差異（p<0.001）。另外實驗組病人之照護滿意度也比對照組顯著的高（p<0.001）。內視鏡逆行性膽胰管攝影術檢查的多媒體衛教影片運用於臨床上，可以降低焦慮感及提升照護滿意度，強調醫護專業人員仍需要關注病人焦慮，實施量身定制的策略以持續提升照護品質的重要性。

This study aimed to explore the effectiveness of multimedia health education on patient anxiety and care satisfaction during endoscopic retrograde cholangiopancreatography (ERCP) examination. This study adopted random sampling research design and collected samples from the Taipei hospital wards who underwent ERCP examination in northern Taiwan. They were divided 68 patients in the experimental group and 68 patients in the control group. The experimental group watched the ERCP video and the control group received traditional leaflets. Research instruments included State-Trait Anxiety Inventory, satisfaction questionnaire (Likert scale). The research results showed that the basic data of the two groups before the health education were homogeneous. After health education intervention, the experimental group showed significantly lower state anxiety compared to the control group of which read traditional paper-based health education (p<0.001). Moreover, the care satisfaction of patients in the experimental group was significantly higher than the control group (p< 0.001). The application of multimedia health education video for ERCP examination can reduce anxiety and enhance care satisfaction in clinical practice, emphasizes the importance of healthcare professionals still paying attention to patient anxiety and implementing tailored strategies to continuously improve the quality of care.