- 期刊
開啟末期生命照護的對話－台灣安寧緩和宣導影片現況分析
The Initiation of End of Life Care Communication-Analysis of Taiwan Promotional Films for Hospice Palliative Care
摘要
研究目的：以安寧緩和作為困難討論議題代表，了解安寧緩和在媒體宣導上的呈現方式與策略。材料與方法：以「Google」網路搜尋引擎以及「Youtube」網路影音分享平台為主要搜尋管道。使用「安寧緩和、安寧療護、末期照顧」作為關鍵字，搜尋2012年以前安寧相關政府與非政府組織所拍攝的宣導型影片作為分析樣本，進行內容分析與卡方檢定。結果：整合台灣六個安寧緩和相關單位所拍攝的宣導型影片共計29部作為分析樣本，其中影片主題包括「安寧療護」、「生命教育」或「醫療決策權」，多使用「情境式」51.7%與「獨白式」48.3%來呈現；58.6%的比例使用「正向框架」、31%影片中同時使用「正向與負向框架」作為對比；有62.1%的影片使用「愛心訴求」以及「第一人稱」的觀點作為敘事策略。結論：在台灣安寧緩和的大眾媒體宣導上，多以正向、軟性、同理心以及建立敘事者與閱聽眾之間感情聯繫的方式，以增加大眾對此議題之認同感。
並列摘要
Purpose: It is difficult to initiate the discussion of hospice/palliative care in Taiwan. This study analysis the pattern of presentation of promotion films for hospice palliative care in Taiwan. Material and Methods: We searched videos about hospice/palliative care by using Google search engine and YouTube platform. The key word ”hospice, palliative and end of life care” was used for searching related videos. We also visited the website of the National Government, academic association and renowned NGO for identifying the related videos. Results: A total of 29 palliative care promoting videos were identified from six sources. The major themes of these videos including hospice palliative care, life education and patient/family medical decision. The presenting designs included scenario (51.7%) and monologue (48.3%). The presenting pattern of the videos included positive gain-framed (58.6%) and mixed gain and loss framed (31%). 62.1% videos used love appeal and first person narrative. Conclusions: Most of the hospice/palliative care-promoting videos in Taiwan used positive frame and compassion content as the major presentation style. It is easier to develop the connection between the media and the audience by using warm and narrative approach to gain the acceptance from the general population.