醫院員工社區安寧療護教育訓練之成效

The Effectiveness of Community-based Palliative Care Training on Knowledge, Attitude and Skills for the Terminal Patients

朱昭美(Chao-Mei Chu) ； 劉嘉仁(Chia-Jen Liu) ； 黃勝堅(Sheng-Jean Huang) ； 翁林仲(Lin-Chung Woung) ； 陳淑廷(Shu-Ting Chen) ； 吳美慧(Mei-Huei Wu) ； 林軒璋(Hsuan-Chang Lin) ； 陳佩琳(Pei-Lin Chen) ； 黃遵誠(Tsun-Cheng Huang)

《北市醫學雜誌》 12卷附冊 (2015/06) Pp. 86-108

https://doi.org/10.6200/TCMJ.2015.12.SP.09

摘要

目的：為瞭解醫院員工接受全民健保規範13小時社區安寧療護教育訓練課程之成效，以作為未來教育訓練及政策規劃之參考。方法：分析參與社區安寧療護訓練課程員工訓練前及訓練後進行問卷調查資料，問卷內容包括基本資料、生命末期病人照護知識自覺瞭解程度量表、照護態度量表及技能測試量表等。本研究教育訓練前後各發出560份問卷，收回911份，回收率81.3%，有效問卷808份（教育訓練前441份，教育訓練後397份）。結果：顯示研究對象於教育訓練後其知識自覺瞭解程度、態度及技能平均得分提升0.2至0.6分間，達顯著差異，且工作年資長、擔任主管、在校期間曾修過緩和療護課程、曾參加過緩和療護研習會、工作單位內生命末期病人曾執行緩和療護或撤除維生醫療及曾參與維生醫療撤除之決策與執行經驗者，其知識、態度及技能得分較高，並達顯著差異，在教育訓練後得分亦有明顯上升。結論：13小時的社區安寧療護課程有助於提高員工對生命末期照護知識、正向之態度及技能，建議應廣為辦理，惟在照護技能方面的分數成長有限，值得再進一步探討進行臨床8小時實務訓練後，技能能否再提升，以確保照護品質。

關鍵字

社區安寧療護 ； 生命末期 ； 教育訓練 ； 知識 ； 態度 ； 技能

並列摘要

Objective: The purpose of this study was to evaluate effectiveness of implementing the thirteen-hour community palliative care training program (CPCTP) on hospital staffs, and also for the educational training and policy planning references in the future. Method: The regional hospital staffs surveyed and evaluated the differences before and after receiving the training. A self-reported questionnaire including items on basic data and the hospital staff's knowledge, attitude and skills regarding end-of-life care. Of the 560 questionnaires were given respectively before and after the training, and 911 were completed. The return rate was 81.3%, 441 were valid for pre-training, and 397 were valid for post-training. Results: After receiving CPC program, the average score of most items of end-of-life care knowledge, attitude and skills were significantly increased between 0.2 to 0.6. Especially if they have been department chiefs, long working experiences, took palliative care courses at schools and workshops, have end-of-life patents receiving palliative care at their workplaces, refused life-sustaining medical treatment and experienced in the policy making and execution the treatment. Theirs pre-training scores are also extremely higher than the rest staffs in care knowledge, attitude and skills. Conclusion: The thirteen-hour CPCTP program is good to know more end-of-life care knowledge and develop positive attitude and skills for hospital staffs. This research suggests promoting educational training and encouraging staffs to practically join end-of-life care services. However, the end-of-life skills scores less growing, it is worth further investigate after eight-hours clinical practice training program skills can upgrading to ensure quality of care.

並列關鍵字

community palliative care end-of-life care educational program knowledge attitude skill