{"title":"为期5周的头颈外科肿瘤学实习对护生面部毁容认知的影响:第一部分。","authors":"Joan Such Lockhart, Linda M Goodfellow","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study tested the effectiveness of a head and neck surgical oncology clinical practicum on nursing students' perceptions of facial disfigurement in these patients. Hypotheses also addressed the impact of patient and student gender; patterns in perceptions based on patient gender and surgical procedure were noted.</p><p><strong>Design: </strong>A two-group pretest-posttest repeated measures experimental design was used with King's Theory of Goal Attainment (King, 1971, 1981) serving as the framework.</p><p><strong>Sample/setting: </strong>Thirty-seven junior-level male (n=9) and female (n=28) nursing students enrolled in a baccalaureate program's adult medical-surgical course were randomly assigned to a 5-week clinical experience in an urban university-affiliated medical center. The Experimental Group (n=19) was assigned to a head and neck surgical oncology unit and the Control Group (n=18) was assigned to a general surgical unit.</p><p><strong>Procedures: </strong>All students completed the Demographic Data Form-Student Version (DDF-SV) and the Modified Disfigurement Scale (MDS) (Lockhart, 1992a, 1992b, 1999, 2000) prior to attending a 4-hour lecture Care of Head and Neck Surgical Patients, a 45-minute clinical conference Care of Facially Disfigured Patients, and the 5-week clinical practicum. All students repeated the MDS after their clinical practicum.</p><p><strong>Results: </strong>A two-way repeated measures analysis of variance and analysis of covariance revealed no significant differences in ratings, irrespective of clinical group or student gender; all photos were described as being \"moderately disfigured\". All students rated female patients as being significantly more disfigured than male patients with identical surgical procedures. Both male and female photos were similarly rank-ordered according to severity of disfigurement; surgeries that involved the central portion of the face were rated as being more severely disfigured than surgeries that affected peripheral portions.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of a 5-week head & neck surgical oncology practicum on nursing students' perceptions of facial disfigurement: part I.\",\"authors\":\"Joan Such Lockhart, Linda M Goodfellow\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This pilot study tested the effectiveness of a head and neck surgical oncology clinical practicum on nursing students' perceptions of facial disfigurement in these patients. Hypotheses also addressed the impact of patient and student gender; patterns in perceptions based on patient gender and surgical procedure were noted.</p><p><strong>Design: </strong>A two-group pretest-posttest repeated measures experimental design was used with King's Theory of Goal Attainment (King, 1971, 1981) serving as the framework.</p><p><strong>Sample/setting: </strong>Thirty-seven junior-level male (n=9) and female (n=28) nursing students enrolled in a baccalaureate program's adult medical-surgical course were randomly assigned to a 5-week clinical experience in an urban university-affiliated medical center. The Experimental Group (n=19) was assigned to a head and neck surgical oncology unit and the Control Group (n=18) was assigned to a general surgical unit.</p><p><strong>Procedures: </strong>All students completed the Demographic Data Form-Student Version (DDF-SV) and the Modified Disfigurement Scale (MDS) (Lockhart, 1992a, 1992b, 1999, 2000) prior to attending a 4-hour lecture Care of Head and Neck Surgical Patients, a 45-minute clinical conference Care of Facially Disfigured Patients, and the 5-week clinical practicum. All students repeated the MDS after their clinical practicum.</p><p><strong>Results: </strong>A two-way repeated measures analysis of variance and analysis of covariance revealed no significant differences in ratings, irrespective of clinical group or student gender; all photos were described as being \\\"moderately disfigured\\\". All students rated female patients as being significantly more disfigured than male patients with identical surgical procedures. Both male and female photos were similarly rank-ordered according to severity of disfigurement; surgeries that involved the central portion of the face were rated as being more severely disfigured than surgeries that affected peripheral portions.</p>\",\"PeriodicalId\":79417,\"journal\":{\"name\":\"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2009-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:本初步研究测试了头颈外科肿瘤临床实习对护生对这些患者面部毁容的认知的有效性。假设也涉及患者和学生性别的影响;注意到基于患者性别和手术程序的认知模式。设计:以King’s Theory of Goal achieve (King, 1971, 1981)为框架,采用两组前测后测重复测量实验设计。样本/环境:37名初中生男(n=9)和女(n=28)就读于学士学位课程的成人内科-外科课程,随机分配到城市大学附属医疗中心进行为期5周的临床体验。实验组(n=19)被分配到头颈外科肿瘤单元,对照组(n=18)被分配到普通外科单元。程序:所有学生在参加4小时的头颈外科患者护理讲座、45分钟的面部毁容患者护理临床会议和5周的临床实习之前,完成了人口统计数据表-学生版(DDF-SV)和改良毁容量表(MDS) (Lockhart, 1992a, 1992b, 1999,2000)。所有学生在临床实习结束后都重复了MDS。结果:双向重复测量方差分析和协方差分析显示,无论临床组或学生性别,评分均无显著差异;所有照片都被描述为“中度毁容”。所有的学生都认为在相同的手术过程中,女性患者的毁容程度明显高于男性患者。男性和女性的照片都按照毁容的严重程度进行了类似的排序;涉及面部中心部分的手术被认为比影响周围部分的手术更严重毁容。
The effect of a 5-week head & neck surgical oncology practicum on nursing students' perceptions of facial disfigurement: part I.
Purpose: This pilot study tested the effectiveness of a head and neck surgical oncology clinical practicum on nursing students' perceptions of facial disfigurement in these patients. Hypotheses also addressed the impact of patient and student gender; patterns in perceptions based on patient gender and surgical procedure were noted.
Design: A two-group pretest-posttest repeated measures experimental design was used with King's Theory of Goal Attainment (King, 1971, 1981) serving as the framework.
Sample/setting: Thirty-seven junior-level male (n=9) and female (n=28) nursing students enrolled in a baccalaureate program's adult medical-surgical course were randomly assigned to a 5-week clinical experience in an urban university-affiliated medical center. The Experimental Group (n=19) was assigned to a head and neck surgical oncology unit and the Control Group (n=18) was assigned to a general surgical unit.
Procedures: All students completed the Demographic Data Form-Student Version (DDF-SV) and the Modified Disfigurement Scale (MDS) (Lockhart, 1992a, 1992b, 1999, 2000) prior to attending a 4-hour lecture Care of Head and Neck Surgical Patients, a 45-minute clinical conference Care of Facially Disfigured Patients, and the 5-week clinical practicum. All students repeated the MDS after their clinical practicum.
Results: A two-way repeated measures analysis of variance and analysis of covariance revealed no significant differences in ratings, irrespective of clinical group or student gender; all photos were described as being "moderately disfigured". All students rated female patients as being significantly more disfigured than male patients with identical surgical procedures. Both male and female photos were similarly rank-ordered according to severity of disfigurement; surgeries that involved the central portion of the face were rated as being more severely disfigured than surgeries that affected peripheral portions.