社區志工的失智症知識、對失智症者態度及提供失智友善行為意願之研究

背景：隨著人口老化快速，老年失智症人數逐漸增加，為了讓失智症者獲得照顧及在地老化，運用社區志工的力量營造失智友善社區，是基層照護的趨勢。目的：了解社區志工失智症知識、對失智症者態度及提供失智友善行為意願之現況及相關影響因素。方法：採用橫斷式調查研究，以分層等比方式抽樣，使用結構式問卷收集資料，共納入404名社區志工的資料進行分析。結果：社區志工的失智症知識平均答對率42.9%、對失智症者的態度總平均2.01±0.65分、提供失智友善行為意願總平均2.19±0.58分。社區志工的工作狀況、教育程度、接受失智症教育訓練及照顧過失智症者與其失智症知識得分有顯著差異（分別為p<.01），接受失智症教育訓練和照顧過失智症者與其提供失智友善行為意願得分有顯著差異（分別為p<.01）；社區志工年齡（r=0.12，p<.05）、失智症知識（r=0.24，p<.01）、對失智症者的態度（r=0.55，p<.01）分別與提供失智友善行為意願達顯著正相關；接受失智症教育訓練、照顧過失智症者經驗、失智症知識及對失智症者的態度為提供失智友善行為意願的預測因子，解釋力為37.0%。結論：建議加強社區志工對失智症病徵與治療方式、與失智症者相處原則及溝通技巧的認識，並藉由分享服務失智症者的經驗來提升失智友善行為的意願。

關鍵字

社區志工；失智友善；知識；態度；意願

並列摘要

Background: The aging population is growing fast, and the number of elderly dementia increases. Allowing people with dementia to be cared for and aging in place helps build a dementia-friendly community with the help of community volunteers. This study investigated the knowledge of dementia, attitudes toward people with dementia, and willingness to provide dementia-friendly behaviors among community volunteers. Aim: This study investigated the knowledge of dementia, attitudes toward people with dementia, and willingness to provide dementia-friendly behaviors among community volunteers. There were 404 valid questionnaires for analysis. Methods: The study used the community volunteers from Taipei City as the research object to carry out the cross-sectional study. A stratified and equal-ratio method was used for sampling, and the subjects were asked to fill out questionnaires to collect data. Results: The average correct rate of dementia knowledge was 42.9%. The questions for attitudes towards patients with dementia showed the average score 2.01±0.65. The questions for aspiration of providing dementia friendly behavior revealed an average score 2.19±0.58. Whether community volunteers having a job, education level, having received dementia education and training, and caring for dementia patients had significant differences with their dementia knowledge scores (respectively p<.01). There were significant differences in the scores of dementia education training and caring for dementia patients and their willingness to provide dementia-friendly behavior (respectively p<.01). There was a significant positive correlation among the age of subjects (r=.12, p<.05), the knowledge of dementia (r=.24, p<.01), the attitude towards patients with dementia (r=.55, p<.01), and aspiration of providing dementia friendly behavior. Acceptance of dementia-related education and training, experience in caring for dementia patients, knowledge of dementia and attitudes towards dementia patients were predictors of willingness to provide dementia-friendly behaviors. All variables explained 37%. Conclusion: It is suggested to better community volunteers' understanding of dementia symptoms and treatment methods, to get along with dementia patients, and to enhance communication skills through sharing the experience of service to dementia patients to increase the willingness of dementia-friendly behavior.

並列關鍵字

community volunteers ； dementia-friendly ； knowledge ； attitude ； willingness

參考文獻

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