Effect of Learning with CAI for Postoperative Care in Clinical Nursing Practice

本研究旨在为护生编制《术后呼吸音听诊》CAI自学教材，并分析自学教材的效果。首先，我们开发了具有以下特点的CAI材料；(a)学生可以使用鼠标在屏幕上自由移动听诊器；(b)当学生将听诊器移动到正确的肺区域时，学生可以听呼吸音；(c)当学生将听诊器移动到错误的肺区域时，学生可以重新确认解剖位置并再次尝试。我们对护理专科三年级完成胸肺评估课程并完成cai前后测试的20名学生进行了该材料的试用。以前测和后测平均分计算改进水平，评价教材的效果。总知识得分提高34.4%，正常呼吸音和解剖知识提高39.4%。临床实践中护理技能目标达到89%。这些结果表明CAI的有效性。

This study aims to develop CAI self-learning material for nursing students, specifically "the auscultation of post operative breathing sounds" and to analyze the effect of the self-learning material.At first we have developed the CAI material with the following characteristics ; (a) students can use the mouse to move a stethoscope freely on the screen, (b) they can auscultate breathing sounds when they move the stethoscope on the proper lung area, and (c) they can reconfirm the anatomic position and try again when they move the stethoscope on the wrong area.We tried this material for 20 students, who had finished the thoracic and lung assessment course, in the third grade of nursing junior college and finished pre- and post-CAI tests. The effect of the teaching material was evaluated with improvement level calculated by mean scores of pre- and post-tests. There was 34.4% improvement in total knowledge score and 39.4% improvement in knowledge of normal breathing sounds and anatomy. Besides, there was 89% attainment of nursing skill's goal in clinical practice.These results suggest the effectiveness of CAI.