School of Nursing, I-Shou University, Taiwan, ROC.
J Nurs Res. 2011 Jun;19(2):102-11. doi: 10.1097/JNR.0b013e31821b0eff.
Hemodialysis (HD) patients have low self-care knowledge, poor self-care behavior, and powerlessness.
The authors designed this study to, first, understand the current state of first-year HD patients' self-care knowledge, self-care behavior, and powerlessness and, second, assess the effectiveness of an interactive multimedia CD educational intervention.
A quasi-experimental, repeated measures design, with intervention and comparison groups, was used. All subjects for this study were recruited from six dialysis centers in southern Taiwan. The three points for outcome testing included baseline, 4 weeks, and 8 weeks. Research tools included an HD self-care knowledge questionnaire, an HD self-care behavioral questionnaire, a powerlessness questionnaire, and an interactive multimedia CD.
Results found that participants possessed insufficient knowledge, were incapable of completely achieving or comprehending routine self-care, and were affected by powerlessness. The interactive multimedia CD intervention effectively enhanced self-care knowledge (p < .000) and self-care behavior (p < .000) and improved powerlessness (p < .000). Positive results persisted well after the conclusion of the intervention.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Participants in the intervention group had better self-care knowledge and behaviors and feeling of control over their lives than those in the control group. This illustrates the positive effects of the interactive multimedia CD. Results demonstrate the potential benefits of using the interactive multimedia CD with elderly patients in HD and nursing practice education.
血液透析（HD）患者自我护理知识水平较低，自我护理行为较差，且缺乏力量。
作者设计本研究，首先了解初诊 HD 患者自我护理知识、自我护理行为和无力感的现状，其次评估交互式多媒体 CD 教育干预的效果。
采用准实验、重复测量设计，包括干预组和对照组。本研究的所有受试者均来自台湾南部的 6 个透析中心。结局测试的 3 个时间点分别为基线、4 周和 8 周。研究工具包括血液透析自我护理知识问卷、血液透析自我护理行为问卷、无力感问卷和交互式多媒体 CD。
结果发现，参与者自我护理知识不足，无法完全做到或理解常规自我护理，且受到无力感的影响。交互式多媒体 CD 干预有效地增强了自我护理知识（p<0.000）和自我护理行为（p<0.000），并改善了无力感（p<0.000）。干预结束后，效果仍持续良好。
结论/对实践的意义：干预组的参与者自我护理知识和行为以及对生活的控制感均优于对照组。这说明交互式多媒体 CD 的积极效果。结果表明，交互式多媒体 CD 可用于 HD 老年患者的护理实践教育，具有潜在的益处。
