某教學醫院護理人員對安寧療護知識、態度及參與工作意願之探討

Knowledge, Attitude and Willingness of Nurses in a General Hospital to Participate in Hospice Care

周希諴(Hsi-Hsien Chou) ； 李選(Sheuan Lee) ； 羅旭宜(Hsu-Yi Luo) ； 周裕銓(Yu-Chan Chou) ； 張梅芳(Mei-Fang Chang)

《中山醫學雜誌》 17卷1期 (2006/06) Pp. 23-32

https://doi.org/10.30096/CSMJ.200606.0003

摘要

本研究目的在探討某教學醫院護理人員對安寧療護的知識、態度及參與安寧療護工作之意願。採橫斷式研究設計，以立意法取樣，採結構式問卷調查台中市某教學醫院臨床護理人員，以自擬之安寧療護知識與態度問卷表為研究工具，有效問卷494份。使用SPSS10.0進行t檢定、單因子變異數分析、皮爾森積差相關等統計法。結果顯示：（一）樣本平均年齡27.5歲，安寧療護知識平均6.5分（滿分8分），態度偏正向，但僅42.9%的樣本願意參與安寧療護工作；（二）樣本有接受倫理課程者與安寧療護知識得分有關；樣本有宗教信仰與正向態度呈顯著相關；（三）樣本有宗教信仰、曾參與志工經驗、曾接受倫理課程者與參與安寧療護工作意願呈顯著相關。研究結果顯示護理人員對安寧療護知識仍顯不足，樣本對安寧療護之態度雖正向但參與安寧療護工作之意願偏低，此結果可應用於臨床護理人員在職教育課程設計中。

關鍵字

安寧療護 ； 知識 ； 態度 ； 參與意願

並列摘要

The purpose of this cross-sectional study of 494 nurses (mean age 27.5 years old) in a general hospital in central Taiwan was to explore the knowledge of, the attitude towards and the willingness of nurses to participate in hospice care. Data was collected by self-administered questionnaire. We found the following. The nurses scored 6.5 out of 8.0 points in knowledge about hospice care and 11.6 out of 12.0 in attitude toward it. While they generally had a positive attitude toward it, only 42.9% were willing to participate in hospice care. The extent of their knowledge about hospice care depended on whether they had previously attended an ethical course and their attitude towards hospice care was governed by their religious beliefs. Their willingness to participate in hospice care depended on their religion, their experiences as a volunteer and whether they had attended an ethics course or not. The study indicated that nurses' knowledge of hospice care was insufficient and that the willingness to participate in hospice care was low. We conclude that nurses in general hospitals be provided in-service training on hospice care.

並列關鍵字

Hospice care ； Knowledge ； Attitude ； Willingnes to participate