Linde B J, Janz N M
Nurs Res. 1979 Sep-Oct;28(5):282-6.
This study was designed to look at the effect of a comprehensive teaching program on patient knowledge and compliance. Thirty patients who had had valve replacement surgery and 18 patients who had had coronary artery bypass surgery were included in the study. Twenty-five of these patients were taught by masters-prepared clinical specialists and 23 by nurses with less than masters preparation. Measurements of knowledge and compliance were obtained preoperatively, at discharge, and during the first two postoperative visits. Findings included significant changes in knowledge scores from the preoperative test to the discharge test and stability in most scores from discharge to both postoperative visits. Compliance percentages were significantly higher than those reported for cardiac patients in a previous study. Patients taught by masters-prepared nurses had significantly higher test scores at discharge than did patients taught by nurses with less than masters preparation.
本研究旨在探讨综合教学计划对患者知识掌握情况及依从性的影响。该研究纳入了30例行瓣膜置换手术的患者和18例行冠状动脉搭桥手术的患者。其中25名患者由具备硕士学历的临床专家进行教学，23名患者由学历低于硕士的护士进行教学。在术前、出院时以及术后的前两次随访中获取知识掌握情况和依从性的测量数据。研究结果包括从术前测试到出院测试知识得分有显著变化，且从出院到两次术后随访时大多数得分保持稳定。依从率显著高于先前一项针对心脏病患者的研究报告中的依从率。由具备硕士学历的护士教学的患者出院时的测试得分显著高于由学历低于硕士的护士教学的患者。
