王麗君 (Lijun WANG) and 李紅 (Hong LI)
(此文曾於第十四屆護理學院週年護士會議中發表)
摘要
目的：探討護士在手術前探訪工作的必要性，並針對性別、年齡、文化程度等個別因素與病人手術前探訪需求作出分析。方法：主要對象是擇期手術病人，以問卷方式做調查。找出病人對手術前探訪的需求，及這些病人所要求的探訪方式與內容。結果：(1)外科病人對手術室護士進行探訪的需求是強烈的，其中優先需求有關人身安全的知識。(2)女性病人的需求明顯高於男性病人。年齡、文化程度對需求內容與種類並無明顯影響，需求程度不隨著年齡增加而有改變。教育程度高中以上組別與高中以下組別的需求也沒有差異。(3)病人希望探訪時間在手術前一天進行，需時不超過 30 分鐘為佳，主要以面談為主，最好有書面材料提供。結論：大部份的病人都不接受長時間的術前探訪。基於以上的研究結果，護士術前探訪，實在有必要經過周詳的計劃探訪內容、充份控制時間、準備精簡的教材，並且可以考慮病人最想了解的內容及方式進行宣教和選擇適合的探訪。
關鍵詞：術前訪問、手術病人
Abstract
Objectives: To study the necessity of pre-operative visits and factors influencing the demand for visits by surgical patients. Methods: Before their elective operations, surgical patients were surveyed on their demands for details of operations, anaesthetic methods and modes of visitation. Results: The demand for pre-operative visits of surgical patients was very strong while female subjects had a much higher demand than males. The gender and educational level of the subjects had no influence on the content of the visits. There was no difference in the demand for details of operations between subjects with high secondary education or above and those without. Most subjects preferred visits of less than 30 minutes one day before their operations. An interview supplemented with written information is welcome by most patient. Conclusion: A pre-operative visit was necessary for most surgical patients. To meet their needs, nurses should carefully plan the visits and select a suitable approach for individual patients.
Key words: Pre-operative visit, surgical patients