行動應用程式介入對護理人員於失禁性皮膚炎照護學習之成效

失禁性皮膚炎(incontinence-associated dermatitis,IAD)是病人失禁時常見的問題，重症病人更是失禁性皮膚炎的高風險族群。透過行動應用程式在護理教育有助提升護理人員照護能力。本研究目的在探討加護病房護理人員經過行動應用程式介入，對照護失禁性皮膚炎病人之學習成效。研究方法採類實驗研究設計；研究對象為中部某醫學中心加護病房之護理人員，共60人；實驗組30人接受四週之失禁性皮膚炎行動應用程式介入，對照組30人接受失禁性皮膚炎課室教學模式介入約1小時；兩組於教學介入措施前及結束後四週，以「失禁性皮膚炎照護學習成效調查問卷」評量其學習成效。以SPSS 21.0進行資料建檔與分析，採次數分配、百分率、平均數、標準差、獨立樣本t檢定、相依樣本t檢定等方法進行統計分析。研究結果顯示行動應用程式教學介入後，失禁性皮膚炎照護知識、失禁性皮膚炎照護態度、及失禁性皮膚炎照護行為頻率等，皆達顯著成效(p＜.05)。因此，本研究介入失禁性皮膚炎行動應用程式，能提升加護病房護理人員之失禁性皮膚炎照護學習成效。故建議護理臨床單位未來可多利用行動應用程式之教學方法作為護理人員教育訓練之策略。

Incontinence-associated dermatitis (IAD) is a common problem in patients with incontinence, and critically ill patients are a high-risk group of incontinence dermatitis. Using mobile apps in nursing education can help improve caregiver care. The purpose of this study was to explore the learning effectiveness of nursing staff in intensive care unit through mobile application intervention to control patients with incontinence dermatitis. The study objects were 60 nursing staff in an intensive care unit of a medical center in the central part of the country. 30 people in the experimental group received four weeks of incontinence dermatitis action app intervention, and 30 people in the control group received incontinence dermatitis. Classroom teaching mode involved about one hour; before and after teaching intervention, the two groups used the "Incontinence Dermatitis Care Learning Outcome Survey Questionnaire" to evaluate their learning effectiveness. The data were archived and analyzed with SPSS 21.0. The results of the study showed that after the intervention of mobile application learning, the knowledge of incontinent dermatitis care, the attitude of care for incontinent dermatitis, and the care behavior of incontinent dermatitis, all achieved significant results (p<.05). Therefore, it is recommended that nursing clinical units can use the teaching methods of mobile apps as a strategy for nursing staff education and training in the future.