Department of Nursing, I-Shou University, Yan-chau Shiang, Kaohsiung County, Taiwan.
J Clin Nurs. 2012 May;21(9-10):1223-31. doi: 10.1111/j.1365-2702.2011.03793.x. Epub 2011 Aug 26.
This study tested the efficacy of a multimedia interactive DVD as an education tool for patients with end-stage renal disease in terms of enhancing patient knowledge and decision-making skills and decreasing uncertainty.
End-stage renal case numbers in Taiwan are growing by approximately 6000 new patients per year. Helping patients choose an optimal treatment method to maximise quality of life is an important healthcare issue for this patient population.
This study adopted a quasi-experimental design and focused on subjects being treated at one medical centre in southern Taiwan. The study divided subjects into experimental and control groups.
The experimental group received three multimedia interactive DVD nursing-guided interventions. The control group received only normal hospital health education. The study gathered data using several scales addressing knowledge, uncertainty perception and decision regret. Scales were implemented immediately before and after the multimedia interactive DVD nursing guidance intervention and at four and eight weeks postintervention. This study used an independent t-test, chi-square test and repeated measures analysis of variance.
This study found significant improvements in the experimental group in terms of knowledge, pre-dialysis uncertainty and decision regret. Experimental group subjects scored particularly less in terms of decision regret than those in the control group.
This study demonstrated the efficacy of the developed multimedia interactive DVD in significantly improving end-stage renal patient knowledge and reducing patient uncertainties and postdecision regret. Study findings can be used as a reference guide for clinical nursing education efforts in hospital and other healthcare settings.
本研究旨在测试多媒体互动 DVD 作为一种教育工具对终末期肾病患者的疗效，从增强患者知识和决策技能以及降低不确定性方面进行评估。
台湾地区的终末期肾病患者人数每年以大约 6000 名新患者的速度增长。帮助患者选择最佳治疗方法以最大限度地提高生活质量是该患者群体的一个重要医疗保健问题。
本研究采用准实验设计，重点关注台湾南部一家医疗中心的患者。研究将患者分为实验组和对照组。
实验组接受三次多媒体互动 DVD 护理指导干预。对照组仅接受常规医院健康教育。本研究使用多个量表评估知识、不确定性感知和决策后悔，收集数据。量表在多媒体互动 DVD 护理指导干预前后立即实施，并在干预后 4 周和 8 周进行评估。本研究采用独立 t 检验、卡方检验和重复测量方差分析。
本研究发现实验组在知识、透析前不确定性和决策后悔方面有显著改善。实验组患者在决策后悔方面的得分明显低于对照组。
本研究证明了开发的多媒体互动 DVD 在显著提高终末期肾病患者知识水平、降低患者不确定性和减少决策后悔方面的有效性。研究结果可作为医院和其他医疗保健环境中临床护理教育努力的参考指南。
