Journal of Ratchasuda College for Research and Development of Persons with Disabilities
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Item A Comparative Study of An Instructional Program on Stump Care of Lower Extremity Amputees Between A Nurse’s Teaching Method and An Instructional Video Program(Journal of Ratchasuda College for Research and Development of Persons with Disabilities, 2010-07-29) Chananan PhokhwangThe purpose of this study was to compare knowledge, practice, and satisfaction of subjects receiving an instructional program on stump care for lower extremity amputees between a nurse\’s teaching method and an instructional video. Subjects were 60 lower extremity amputees between 20-60 years old receiving stump care and prosthetic legs at the Prosthetic Department, Siriraj Hospital. The subjects were purposively divided into two groups, with 30 subjects in each. The experimental group watched an instructional video, whereas the control group received a nurse\’s teaching method. Pre - and post-tests were administered using the same questionnaire for assessing the subjects\’ knowledge, practice, and satisfaction level. These tests were conducted right after the teaching was completed. Percentages, means, and standard deviations were computed and analyzed for the score distributions. A t-test was used to compare the knowledge and practice scores of the two groups, and a chi-square test was used to compare the teaching satisfaction scores of the two groups. \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ The results of the study revealed that there were no significant differences between knowledge and practice on stump care for lower extremity amputees that received information from a nurse\’s teaching method and from an instructional video (p \< 0.05). However, the group that received information from the nurse\’s teaching method had a higher satisfaction level than the group watching the instructional video\ \ \ \ \ \ \ \ (p \< 0.05). The satisfaction score may be different due to the fact that many lower extremity amputees had stress, anxiety, and hopelessness that impeded their learning, adaptation, and self-care. As a result, when they received prosthetic care and rehabilitation instruction from nurses who provided not only the prosthetic care but also mental support, they felt satisfied with the teaching and care and they could adjust socially and mentally. In contrast to the nurse\’s teaching, the video was a one-way communication method and subjects could not ask about or consult on their problems when\ \ they wanted to discuss them or get further clarification. Therefore, subjects receiving video instruction may be deficient inunderstanding and adapting socially and mentally toward their lives as lower extremity amputees. หน้า \ 40\ วารสารวิทยาลัยราชสุดา\ \ \ \ \ \ \ \ \ ปีที่ 5 \ ฉบับที่ 1-2\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ Accordingly, the results of this study suggested that teaching materials or instructional technology should be used with all groups of amputees for the ultimate benefit. Additionally, the nurse\’s teaching method and video should be combined for better outcomes. Further studies should be expanded to include other populations.