新冠疫情下生命與健康價值觀之世代差異與KAP分析

To study the generation difference of life and health values by KAP analysis during Covid-19

張炳華(Bin-Wha Chang) ； 陳詩函(Shih-Han Chen) ； 廖珮汶(Pei-Wen Liao) ； 梁巧欣(Chiao-Hsin Liang) ； 張珽宇(Ting-Yu Chang) ； 龔建吉(Chien-Chi Kung)

《運動與遊憩研究》 17卷4期 (2023/06) Pp. 18-30

https://doi.org/10.29423/JSRR.202306_17(4).02

摘要

目的：探討新冠疫情下，民眾生命及健康價值觀（安寧療護、器官捐贈、安寧緩和、安樂死）的世代差異性及其在認知、態度與行為之分析。方法：採用問卷調查法，以結構式問卷收集資料，問卷包含基本資料、生命與健康價值認知、態度與行為四個部分。以15－69歲臺灣地區居民為研究對象，透過網路便利抽樣，回收517份問卷，並經年齡加權進行統計分析。結果：研究發現，生命與健康價值認知、態度與行為在年齡上有顯著世代差異性，年輕世代（20－49歲）普遍較願意執行臨終安寧療護、緩和治療（不施行心肺復甦術）、安樂死或死後器官捐贈，且顯著高於中高齡世代者（p<.05）。此外，一般民眾的生命與健康價值認知及態度對於其行為有顯著影響。在生命與健康價值態度的中介效果分析，發現生命與健康價值態度對認知在行為有部分中介之影響，因此，正確之生命與健康價值認知與態度，可增加民眾同意接受臨終處置之行為意圖。建議：透過家庭或社會教育，能讓民眾清楚認知生命與健康之價值，進而改變其個人或親人對於臨終處置之選擇。

關鍵字

生命與健康價值觀 ； 安寧療護 ； 器官捐贈 ； 安寧緩和 ； 安樂死

並列摘要

Purpose: To explore the generational differences in people's life and health values (ex. hospice care, organ donation, palliative care, and euthanasia) and their analysis by knowledge, attitude, and practice (KAP) during COVID-19. Methods: The survey was used to collect data with a structured questionnaire which included four parts such as demographic information, life and health knowledge (LHK), life and health attitude (LHA), and life and health practice (LHP). Aged 15-69 Taiwan residents to be as the population, 517 questionnaires were collected through online convenience sampling, and the statistical analysis was carried out by age weighting. Results: This study found that there were significant generational differences in knowledge, attitude, and practice of life and health values (LHV-KAP mode). For 20-49 years old generation were generally more willing to perform hospice care, palliative care (without CPR), euthanasia, and organ donation, and this group was significantly higher than the group of middle-aged (50-69 years old, p<.05). Moreover, Both LHK and LHA of people had a significant impact on their LHP. In the mediating effect analysis of LHA, it was found that LHA had a partial mediating effect on LHA in LHP. Therefore, a correct LHA and LHK can increase people's behavioral intention to agree to accept end-of-life treatments. Suggestions: Through family or social education, people can clearly understand the value of life and health, and then change their personal or relatives' choices for end-of-life treatments.

並列關鍵字

Life and health values ； hospice care ； organ donation ； palliative care ； euthanasia

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