失智症照顧教育課程對日間照顧中心照顧服務員的照顧知識、態度及能力之成效

The Effects of Educational Program of Dementia Care on the Knowledge, Attitude and Competence among the Nurse Aides in Day Care Centers

林麗味(Li-Wei Lin) ； 蔣妃玫(Fei-Mei Chiang) ； 陳見花(Chien-Hua Chen) ； 戴佑泫(Yu-Hsuan Tai) ； 蔡麗珍(Li-Jane Tsai) ； 葉淑惠(Shu-Hui Yeh)

《長庚護理》 27卷4期 (2016/12) Pp. 491-505

https://doi.org/10.3966/102673012016122704002

摘要

背景：日間照顧中心屬於社區式長期照顧之服務模式，為台灣落實在地老化策略之一；照顧服務員為日間照顧中心主要的照顧人力，其多數經照顧服務員培訓課程後任用；然而培訓課程著重於失能者的照顧，較缺乏完整的失智症照顧的培訓。目的：探討失智症照顧教育課程對於日間照顧中心照顧服務員的照顧知識、態度及能力改善之成效。方法：本研究採雙組前後測實驗性設計，以配對取樣方式選取中部及南部共24 家日間照顧中心53 位照顧服務員為研究對象。以隨機分組為實驗組(n = 29) 接受12 堂(20 小時) 失智症照顧教育課程；對照組(n = 24) 則未接受教育課程。以結構式問卷進行資料收集，於課程介入的前三天進行前測，及課程結束後的六週進行後測，並以SPSS Version 20.0 進行統計分析。結果：失智症照顧教育課程可顯著的改善實驗組照顧服務員之失智症照顧知識(t = -2.12 , p =.04)。進一步比較兩組間成效指標之前後測差異，雖然實驗組照顧服務員接受失智症照顧教育課程後的失智症照顧知識、態度及能力比對照組照顧服務員改善，但改善程度未達統計上顯著差異。結論：失智症照顧教育課程介入雖顯著的增加照顧服務員照顧失智症個案的知識，但課程內容、指導方式及成效評值的時間，將需進一步探討。

關鍵字

失智症照顧教育課程 ； 照顧服務員 ； 知識 ； 態度 ； 能力

並列摘要

Background: Taiwan has a policy of supporting aging in place for its elderly. Day care is one of community-based services of long-term care in Taiwan. Nurse aides provide most of the cares at these day care centers, however, their training focuses on disability care, rather than on dementia care. Purpose: This study examined the effects of an educational program of dementia care on knowledge, attitude, and competence among nurse aides at 24 day care centers in Taiwan. Methods: An experimental two group pre-test and post-test research design was used. Participants included 24 matched experimental and comparison groups in Central and Southern Taiwan day care centers. Twenty nine participants in the experimental group participated in a 12-topic (20 hours) threedayeducational program on dementia care. Twenty four participants in the comparison group did not participate in the educational program. All participants were interviewed using three structured questionnaires prior to the intervention. The post-test was conducted 6 weeks after the intervention. The collected data were analyzed using SPSS Window version 20.0. Results: The research results showed that the educational program improved dementia care on knowledge of dementia among nurse aides in the experimental group (t = -2.12, p = .04). However, there was no significant mean difference on knowledge, attitude, and clinical competence of dementia care between the two groups of nurse aides post-test. Conclusions: After participating in the dementia care educational program, the nurse aids demonstrated significantly improved dementia care knowledge. However, the lack of a significant difference between the two groups post-test suggests that there is an urgent need for further study regarding course content, use of directional methods and timing of outcome measurements.

並列關鍵字

dementia care education ； nurse aides ； knowledge ； attitude ； clinical competence

參考文獻

中華民國老人福利推動聯盟(2009)。日間照顧營運手冊。臺北=Taipei:中華民國老人福利推動聯盟=Federation for the welfare of the elderly。

內政部統計處(2014)．內政統計月報-103年第3週內政統計通報102年底人口結構分析．取自http://www.moi.gov.tw/stat/news-content.aspx?sn=8057。[The Interior and Statistics Department. (2014). Statistics Monthly analysis of population structure in the internal affairs -102 years. Retrieved from: http://www.moi.gov.tw/stat/news-content.aspx?sn=8057.]

王佩琮(2014)。臨床護理人員對於失智患者照護之知能研究─知識、態度與異常行為處理之自我效能。國立台北護理健康大學=National Taipei University of Nursing and Health Science。

台灣長期照顧協會(2014)．如何選擇合適的照護． 取自http://www.ltcpa.org.tw/public/choose_01.html。[Taiwan's long-term care professional associations (2014). How to choose the right care. http://www.ltcpa.org.tw/public/choose_01.html.]

行政院衛生福利部(2012，9 月28 日)．老人福利服務專業人員資格及訓練辦法．取自http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=D0050151。[Executive Yuan, the Ministry of Health and Welfare (2012). Elderly welfare service of professional qualifications and training approaches. From: http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=D0050151]