護理人員安寧療護知識、態度及自我效能之相關研究

Relationships among Hospice Care Knowledge, Attitude, and Self-Efficacy in Nurses

陳秀芳(Shiu-Fang Chen) ； 丘周萍(Chou-Ping Chiou)

《榮總護理》 39卷1期 (2022/03) Pp. 2-13

https://doi.org/10.6142/VGHN.202203_39(1).0001

摘要

醫療科技的進步帶來人類壽命得以延長，老化、慢性疾病狀況比例擴增。「惡性腫瘤」占十大死亡原因第一，對於無法治癒的臨終病人而言，適當安寧療護介入可增加生活品質。本研究目的主要了解護理人員的基本屬性、安寧療護知識、安寧療護態度及安寧療護自我效能之關係。採橫斷性相關性調查研究方法，進行資料收集，共收案138位護理人員。研究工具包括安寧療護知識問卷、安寧療護態度問卷、安寧療護自我效能問卷、人口統計變項問卷。研究結果發現：護理人員基本屬性不同對安寧療護知識有顯著差異性，年資5－10年者得分高於年資少於1年者。護理人員之安寧療護知識與安寧療護態度具有顯著正相關（r=.178, p＜.05）；安寧療護之態度與安寧療護自我效能具有顯著正相關（r=.538, p＜.01）；但安寧療護知識與安寧療護自我效能無顯著相關（r=-.024, p＞.05）。研究結果將可協助臨床護理人員了解安寧療護教學內容設計及在職教育重要性，安寧療護知識、態度、自我效能問卷並可做為未來安寧療護相關研究問卷測量工具。

關鍵字

安寧療護知識 ； 安寧療護態度 ； 安寧療護自我效能

並列摘要

The advancement of medical technology has prolonged the human life span, increasing the aging of populations and the proportion of individuals with chronic diseases. Malignant tumors comprise the 10 most common causes of death. For dying patients with diseases that cannot be cured, appropriate palliative care can increase their quality of life. The main purpose of this study was to understand the relationships among the basic characteristics, hospice care knowledge, hospice care attitude, and self-efficacy of nurses. This cross-sectional study was performed in a medical center. A total of 138 nurses were enrolled. The instruments included hospice care knowledge, hospice care attitude, self-efficacy, and demographics questionnaires. The study results revealed significant differences in hospice care knowledge among nurses with differing basic characteristics. Nurses who had 5-10 years of working experience had more hospice knowledge than nurses with less than 1 year of working experience. A significant correlation was found between hospice care knowledge and hospice care attitude (r = .178, p ＜ .05); attitude was significantly and positively correlated with self-efficacy (r = .538, p ＜ .01). However, no significant correlation was detected between hospice care knowledge and self-efficacy (r = -.024, p ＞ .05). The study results indicate the importance of teaching content design and on-the-job education for clinical nurses. The questionnaires also can be used as measurement tools for future research.

並列關鍵字

hospice care knowledge ； hospice care attitude ； hospice care self-efficacy

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