[[alternative]]The Effects of the Nursing Intervention to Improve Pain Knowledge, the Quality of Analgesia,

[[abstract]]本研究目的旨在探討提供護理指導手冊及輔助光碟的護理措施，對手術後進行病患自控式止痛術患者的疼痛知識認知、疼痛治療品質與疼痛治療成效之成效。採類實驗型之研究設計，以北部某醫學中心60名患者為研究對象，有實驗組30名及對照組30名。實驗組於住院前接受第一項護理措施-提供教學手冊與輔助光碟，住院後接受第二項護理措施-探視與再教導，手術後接受第三項護理措施-探視與再教導。對照組則接受一般門診、病房及疼痛小組常規照護。研究工具包括人口學特質資料表、疾病特質資料表、疼痛指數測量表、疼痛知識認知量表、疼痛治療品質測量表、護理指導手冊、護理指光碟、手冊與光碟評價表。所得資料以spss for window 10.0版套裝軟體進行資料編碼、建檔及分析，統計方法包含次數分配、百分比、全具、平均值、標準差、卡方檢定，獨立樣本t檢定、配對樣本t檢定、皮爾森積差相關等進行分析。本研究結果顯示：（1）兩組於基本資料上無統計顯著差異。（2）實驗組之疼痛知識認知、疼痛治療品質與疼痛治療成效均較對照組顯著性提升。（3）疼痛知識認知與疼痛治療品質和疼痛治療成效均有顯著相關，疼痛知識認知與人口學特質有顯著相關。（4）實驗組對護理指導手冊與光碟有良好評價。根據本研究結果，建議使用手冊與光碟於行全膝人工關節置換手術患者，住院前及住院後之病患自控式止痛術衛教，未來研究方向可對其他診斷及慢性疼痛患者加以研究，以了解教育措施之成效。[[abstract]]The purpose of this study was to evaluate the effect of the nursing intervention, including teaching, booklet and videodisc, to improve pain knowledge, the quality of analgesia, and the effect of analgesia. A quasi-experiment research design was used for the study. Totally, 60 subjects obtained from one medical center were non-randomly assigned into either the experimental group（n=30）or the control group（n=30）. The experimental group received the first nursing instruction with the booklet and videodisc before hospitalization. The second nursing instruction with discussion and teaching was provided in hospital before surgery. After surgery, the third nursing instruction was provided by visiting and guiding. The control group only received regular outpatient service and the pain management team routine care. The research instruments include Patient Essential Data List, Pain Knowledge Questionnaire, American Pain Society Patient Outcome Questionnaire, Pain treatment effect Questionnaire, and the Evaluation Questionnaire of booklet and videodisc. SPSS10.0 version software was used for coding and data analysis. Statistics method including frequency, percentile, range, mean, standard deviation, chi-square, independent sample t-test, pair t-test, and pearson’s-r. The result of the study showed no significant difference in Patient Essential Data List between two groups. The experimental group has significant improvement in pain knowledge, the quality of analgesia, and the effect of analgesia with control group. There are significant relationships among pain knowledge, the quality of analgesia, and the effect of analgesia. There are significant relationships between pain knowledge and education levels, but there are no significant relationships between pain knowledge and previous medical experiences. Using booklet and videodisc in pre-hospital education for patient controlled analgesia patient is recommended. The further research on investigation of the effe of education in other diagnosis patient with patient controlled analgesia is suggested