A Questionnaire Survey of University Hospital Attenders

到院民眾對於安寧療護的態度

張瑄瑄(Hsuan-Hsuan Chang) ； 邱永偉(Youg-Wei Chiu) ； 周希諴(Hsi-Hsien Chou) ； 周裕銓(Yu-Chen Chou) ； 周明智(Ming-Chih Chou)

《中山醫學雜誌》 17卷1期 (2006/06) Pp. 45-52

https://doi.org/10.30096/CSMJ.200606.0005

摘要

背景及目的：本研究目的是想了解到院民眾對安寧療護的知識與態度，以作為未來改善安寧療護服務的參考。
方法：本研究的樣本為民國93年9月間在中山醫學大學附設醫院接受醫療服務的400位一般民眾。資料收集採問卷方式；問卷內容包括三大變項：1.對安寧療護的知識，2.對安寧療護的態度，3.個人基本資料。
結果：69.4%的受訪者有聽過安寧療護,且資訊來源大部分來自於大眾傳播媒體。只有分別34.2%和31.1%受訪者知道安寧療護目前服務對象也包括運動神經元疾病（漸凍人）末期病人和愛滋病末期病人。有94.4%的受訪者同意安寧療護服務的範圍應該擴大到其他疾病末期的病患。86.2%的受訪者同意醫師應該將病情告訴末期癌症病患本人。52.0%的受訪者同意病人家屬有權禁止醫師將病情告訴末期癌症病患本人。而在受訪者當中，有聽過安寧療護的人及學歷較高的人其對安寧療護都有較正向的態度。
討論：1.一般民眾對末期的病情告知之態度呈現矛盾的現象。2.學歷較高的人有較正向的態度。3.增加有關末期照護及安寧療護的知識教育是需要的。4.建議應將有關末期病人的照護模式之知識融入一般國民義務教育及發展相關的持續性教育課程，包括一般民眾如何使用安寧療護資源。

關鍵字

到院民眾 ； 知識 ； 態度 ； 安寧療護

並列摘要

BACKGROUND AND OBJECTIVES: This study is to know the hospital attenders' knowledge and attitude toward hospice for improving hospice service provided in the future.
METHODS: 400 people who registered for medical treatment at the Chung Shan medical university hospital were enrolled. A self-administered questionnaire was designed including three domains as follows: 1. the knowledge of hospice, 2. the attitude toward hospice, and 3. the basic data.
RESULTS: The results showed 69.4% of respondents had heard about hospice care and most of them heard it from the mass media. Only 34.2% and 31.1% of respondents knew that hospice care for the terminal motor neuron disease and terminal AIDS patients, respectively. 94.4% of respondents agreed that hospice care should cover more terminal patients other than cancer patients only. 86.2% of respondents agreed that physicians should do the informed consent to the terminal cancer patients. 52.0 % of respondents agreed that the family had the right to prohibit the physicians from doing the informed consents to the patients. Those who had heard about hospice and those who had higher academic degree had more positive attitude toward hospice.
CONCLUSIONS: 1. Informed consent is in conflict for the common people. 2. Those who had the higher academic degree had the more positive attitude. 3. Educational interventions to enhance knowledge concerning terminal care and hospice care may be needed. 4. The effort to change compulsory national education curricula and develop continuing education programs targeting many aspects of caring for the terminally ill patients, including the public using of the hospice care is suggested.

並列關鍵字

hospital attender ； knowledge ； attitude ； hospice care