Fooyin University

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    The effects of the multimedia foot care program for patients with diabetes

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    指導教授:陳淑銘研究背景:足部潰瘍是糖尿病最常見的合併症,不僅危害病人的健康,甚至導致截肢的傷害。護理人員提供足部照護的方法,可使病人早期發現與預防足部傷口的發生,並促進病人足部照護的信心與能力。 研究目的: 本研究目的旨在探討多媒體足部照護方案對糖尿病病人足部照護的成效,期望能提升病人於足部照護的知識、自我效能及行為。 研究方法: 本研究採實驗性兩組前後測設計,選取居住北高雄某2區的社區糖尿病病人一百位,以電腦亂數表分派為實驗組及控制組各五十位。實驗組接受足部照護常規衛教加上四週多媒體足部照護方案,控制組只接受足部常規衛教。測量工具包括:「基本人口學調查表」、「足部照護知識量表」、「足部照護自我效能量表」、「足部照護行為量表」、「衛教滿意度量表」。資料分析以SPSS 22.0統計軟體,進行描述性統計、獨立樣本t檢定、成對樣本t檢定、混合二因子變異數分析及單一因子共變數等方法進行分析處理。 研究結果: 多媒體足部照護方案介入後實驗組對於足部照護知識、自我效能及行為得分皆高於控制組,達統計上顯著之差異(p < .05);多媒體足部照護方案衛教滿意度亦高於傳統式衛教,達顯著差異(p < .05)。 討論與結論: 本方案可提升糖尿病病人對於足部照護知識、自我效能及行為,期可降低足部潰瘍的發生,未來可作為糖尿病病人足部照護衛教的參考

    Process-phase Situated Interaction Based elearning/ instruction Platform and Role-play Based Process-phase Situated Experience Practice – Innovative e-learning/instruction for Management Accounting

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    This research develops an innovative elearning/ instruction tool named “Process-phase Situated Interaction Based e-learning/instruction Platform” (PSIBEP) and an innovative instruction methodology named “Role-Play Based Process-phase Situated Experience Practice” (RBPSEP) which are the solutions of the problems occurred at existing actual instruction and learning context of management accounting and generate following innovative value: effective multi-dimensional cross influence situations simulation of business management situation simulation of process-phase adjustment and optimization user-friendly autonomous manipulation operation learning & application integrated instruction/learning platform automatic series data calculation and affiliation visualized human-machine interface with agile feedback and interpretation timely interaction platform between learners and instructors The basic mechanism and framework of the information system for PSIBEP is constructed in this research. Then apply PSIBEP and RBPSEP to the actual instruction/learning of management accounting related courses. User satisfaction questionnaire of PSIBEP and RBPSEP is applied to all participants. The results of user satisfaction questionnaires indicate that users well satisfy PSIBEP and RBPSEP overall performance, especially in the performance of web-page transition, information accuracy, real-time information update, real-time interaction and problem solving applications

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