華人傳統文化對國人善終選擇之影響

Influence of Traditional Chinese Culture on Taiwanese People to Make Decisions for A Good Death

林家穗(Chia-Sui Lin) ； 王枝燦(Chih-Tsan Wang) ； 賴維淑(Wei-Shu Lai)

《安寧療護雜誌》 24卷1期 (2020/03) Pp. 1-16

https://doi.org/10.6537/TJHPC.202003_24(1).01

摘要

本研究探討華人傳統文化對國人善終選擇之影響，採橫斷式調查研究，以通過專家審查之自擬式「善終選擇」問卷為研究工具，將「善終選擇」問卷分為個人基本資料、文化影響因素（分為三個子構面：傳統文化規範、親情倫理以及醫療價值）、善終選擇三大部分，於2015－2016年以國內大於20歲以上成人為對象，以便利抽樣法共發放1,200份，回收1,080份問卷，有效問卷為1,029份，有效樣本回收率為85.75%。研究結果發現，傳統文化規範、親情倫理以及醫療價值觀等文化影響因素，受其他背景變項所影響；另，背景變項以性別、年齡、教育程度、宗教信仰、族群、職業、居住地區在個人的善終選擇上有顯著差異；而傳統文化規範、親情倫理以及醫療價值觀等文化因素，對於善終選擇具預測力。根據本研究之結果，可供醫護與安寧工作人員相關教育建議，作為後續生死教育、臨床照護以及研究參考。

關鍵字

善終選擇 ； 喪葬儀俗 ； 安寧療護 ； 華人文化

並列摘要

This research was a cross-sectional study, and aimed to investigate how traditional Chinese culture affected people to make their decisions for a good death. A self-developed questionnaire, reviewed by experts in advance, was used in this study, and it consisted of three sections: demographic information, assessment of cultural influence factors (which composed of three sub-aspects: traditional cultural norms, familial ethics and values of medical treatment), and decision-making for a good death. The respondents were chosen among adults older than twenty year-old in Taiwan, from 2015 to 2016, by convenience sampling. Of the 1,200 questionnaires that were distributed, 1,080 were recruited, and 1,029 (85.75%) were valid. The results showed that cultural influence factors, which are traditional cultural norms, familial ethics and values of medical treatment, are affected by other background variables. The decision-making for a good death has significant difference between groups classified by different variables, which include sex, marital status, education, religious beliefs, ethnicity, professions, and inhabitation. The level of cultural influence factors can predict the decision-making for a good death. The results and findings of this study can give suggestions for healthcare and hospice-related personnel, and provide information for further studies on the education of life and death and clinical nursing care.

並列關鍵字

decisions for a good death ； funeral customs ； hospice ； Chinese culture

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