護理之家護理人員對長期照護知識態度與照護意願之探討

The nursing home nurses' knowledge attitude and willingness on long term care

蔣佳祝(CHIA-CHU CHIANG)

指導教授 ： 藍守仁

亞洲大學/健康學院/長期照護研究所/碩士(2010年)

摘要

由於老人人口及平均餘命的快速成長，其罹病率亦隨之增加。而護理人員是長期照護團隊中的重要成員，為長時間與老人接觸的醫療專業人員，因此其對長期照護的知識、態度與意願將會影響她們的照護行為。本研究的目的為了解護理之家護理人員對長期照護知識、態度與照護意願等現況，以及三者間的相關性、並探討護理人員的基本屬性與三者間的關係。採橫斷式研究，研究對象為立意取樣，以中部地區衛生署立案的護理之家之護理人員為研究對象，採結構式問卷進行調查，總共郵寄發出128份問卷，回收有效問卷為115份，其回收率為89.8%，並以SPSS For Windows 12.0 中文版之軟體執行 T檢定、單因子變異數分析、薛費氏事後檢定、皮爾森積差相關分析、逐步複迴歸做推論性統計資料分析。
結果顯示護理之家護理人員對(1)長期照護的知識總分100分，平均得分為66.77分，答對率66.77% ，宗教信仰（F＝-2.61，P＜0.05）、家庭型態（F＝3.75，P＜0.05）、每月薪資（F＝2.98，P＜0.05）在長期照護知識上呈顯著相關。(2)對長期照護態度平均得分率3.7 分，由此可知護理人員對於長期照護態度大部分屬於積極、正向，家庭型態（F＝3.21，P＜0.05）、是否喜歡一般老人（F＝4.57，P＜0.05）、職稱（F＝2.51，P＜0.05）、領有職業執照等級（F＝8.89，P＜0.05）、最近二年內是否主動參加【長期照護】相關之研討會（t＝4.09，P＜0.05）在態度上呈顯著相關。(3)長期照護意願平均得分率3.5 分，由此可知護理人員對於長期照護意願大部分屬於積極、正向，性別（t＝-2.18，，P＜0.05）、婚姻狀況（F＝3.50，P＜0.05）、是否喜歡一般老人（F＝3.88，P＜0.05）、最近二年內是否主動參加【長期照護】相關之研討會（t＝3.78，P＜0.05）在意願上呈顯著相關。(4) 護理之家之護理人員對長期照護之整體知識、態度、與意願具有顯著正相關(P＜0.01)，即長期照護知識愈豐富，其對長期照護態度就愈正向，愈願意從事照護工作。本研究結果將可以作為護理之家在政策、實務、在職教育的安排及參考，最終達到提升長期照護所需的護理人力及照護品質。

關鍵字

長期照護 ； 知識 ； 態度 ； 照護意願

並列摘要

Since the increasing population and life expectancy of the elderly,there is also an increase in tendency of being sick.Because nurses are important part of the long term care staff in elderly care,their knowledge,attitudes,and willingness of long term care will have great influence on their nursing activity toward the eldery. The aim of this study is to realize their knowledge attitudes,and willingness in caring elderly, and relationships among these three variables. A cross-sectional study, subjects were purposive sampling to the central district health department nursing home and registered nurses as subjects, using a structured questionnaire survey, a total of 128 questionnaires sent by mail, 115 valid questionnaires, The recovery rate was 89.8%, and to SPSS For Windows 12.0 Chinese version of the software implementation of the T test, one way ANOVA, Scheffe test, Pearson correlation analysis, stepwise multiple regression model inferential statistical data analysis.
The results showed that nurses in nursing homes (1) Long-term care knowledge score of 100 points, the average score of 66.77 and the correct response rate of 66.77 percent, religion (F =- 2.61, P <0.05), family type (F = 3.75, P <0.05), the monthly salary (F = 2.98, P <0.05) in long term care knowledge was significantly correlated. (2) long-term care attitude score was 3.7 points on average, can be seen long-term care for the attitude of the majority of nurses are active, positive, family type (F = 3.21, P <0.05), whether you like the general elderly (F = 4.57, P <0.05), titles (F = 2.51, P <0.05), obtain a professional license level (F = 8.89, P <0.05), the last two years is a long-term care actively participate in seminars related to (t = 4.09, P <0.05) were significantly related in attitude. (3) The rate of long-term care will mean score of 3.5 points, can be seen for long term care nurses are most active, positive, gender (t =- 2.18,, P <0.05), marital status (F = 3.50, P <0.05), whether you like the general elderly (F = 3.88, P <0.05), the last two years is a long-term care actively participate in relevant seminars (t = 3.78, P <0.05) were significantly related to the willingness on. (4) nursing home nurses on the overall long-term care knowledge, attitudes, and will have a significant positive correlation (P <0.01), that is more extensive long-term care knowledge, their attitude toward the more positive long-term care, the more willing to engage in care work. Results of this study could serve as a nursing home in the policy, practice, continuing education and reference arrangements and finally to long-term care and nursing staff required for quality of care.

並列關鍵字

Long-term care ； knowledge ； attitude ； willingness

參考文獻

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