摘要
背景與目的：安寧病房的護理人員較一般病房護理人員有較高的機會接觸瀕死病患及面對死亡，可能導致面對死亡恐懼的態度、需求與因應行爲出現差異。本研究之目的：1.探討影響護理人員對照顧瀕死病人態度與行爲之相關因素。2.比較安寧與非安寧病房護理人員對死亡恐懼及因應行爲是否有差異。 方法：本研究採橫斷式設計，以結構性問卷收集資料，有效樣本共184位護理人員，資料分析以獨立樣本t檢定(Independent t-test)及單因子變異數分析(one-way ANOVA)來比較二組護理人員面對死亡恐懼的態度、需求與因應行爲之差異性。 研究結果：安寧與非安寧病房二組護理人員在對死亡恐懼的平均值皆以「恐懼自己瀕死」最高，對「恐懼他人瀕死」最低。在照顧瀕死病患時，前者無特別生理反應出現者佔50%，而後者則以出現睡眠障礙居多佔56%。而二組護理人員在情緒表現方面，最常出現的皆爲無力感與哀傷，最希望由同事撫平情緒及給予情緒支持。在因應行爲方面，二組護理人員皆能以處之泰然的態度面對，最常採用的調適方法則是與同事分享及聽音樂。
並列摘要
Background and purpose: Hospice nursing staffs have a higher opportunity to face dying patients than non-hospice nursing staffs due to the different characteristic of the wards. Therefore, the fear of death, needs for caring dying patients and their coping behavior between two groups might be different. The aims of this study were: 1. To explore the factors affecting the nursing staff attitude toward care of dying patients. 2. To compare the level of fear of death, needs for caring dying patients and coping behavior between hospice and non-hospice nursing staffs. Methods: This study was a cross-sectional research by applying a structured questionnaire on 184 nursing staffs. All data were analyzed using SPSS 13.0 statistical package. Description, mean, standard deviation (SD), independent t-test and one way ANOVA were the strategies to analyze the data. Result: By the statistical re lts from two groups of nursing staff, it was highest in fearing self-dying and lowest in fearing dying of others. About 50% hospice nursing staffs had no special physiological responses for caring dying patients, but 56% non-hospice nursing staffs presented sleep-disorder. Apparently both groups showed the emotional responses which happened most frequently as helplessness and sadness. Needs for caring dying patients, nursing staffs needed mental support by colleague. In coping strategies, both groups faced dying patients with general attitude, and most often used to deal with their stress is to share with the colleague and listen to the music.