中部某醫學中心護理人員對老人態度及照顧意願之探討

Willingness and Attitudes Toward Elderly Care Among Nurses at a Medical Center in Central Taiwan

李彩緣(Chai-Yuan Lee) ； 徐慧娟(Hui-Chuan Hsu) ； 周怡伶(Yi-Ling Chou) ； 陳鈺如(Yu-Ju Chen)

《護理暨健康照護研究》 8卷4期 (2012/12) Pp. 297-305

https://doi.org/10.6225/JNHR.08.4.297

摘要

背景：老年人口的快速增加，「老人照護」成為21世紀健康照護的主要議題之ㄧ，相關的影響因素非常重要，才能作為改善護理人員對老人態度與照顧意願之參考。目的：了解某醫學中心護理人員對老人的態度及照顧意願及其相關影響因素。方法：採用問卷調查法，以中部某醫學中心病房之護理人員為研究對象，採立意取樣，研究期間為2011年4月，以「基本資料表」及「對老人態度量表」進行問卷調查，共發出200份問卷，回收率76.0%，有效樣本共152位。以SPSS12.0 for Windows統計軟體，使用t-test、卡方檢定、單因子變異數分析、多元及邏輯式迴歸統計分析法進行資料分析。結果：研究結果顯示護理人員服務科別對老人態度及照顧意願的影響呈現顯著差異；而教育程度、服務科別、照顧頻率及曾參與相關教育與照顧意願的關係分析呈現顯著差異。護理人員對老人態度偏正向，其中69.1%的護理人員有照護老人的意願；服務於外科對老人態度及照顧意願是內科的0.395倍；時常照顧老人之照顧意願是常常照顧老人的0.172倍；教育程度大學（含）以上其照顧意願是專科的4.520倍；未曾參與相關教育的照顧意願是曾參與相關教育的0.272倍。結論／實務應用：研究結果提供臨床護理人員對老人態度及照顧意願，參與老人相關教育有助於提升護理人員對老人照顧意願，建議臨床應重視老人相關教育，並將老人相關教育納入在職教育課程中，以增進護理人員對老人態度及照顧意願，進而提升老人照護品質。

關鍵字

老人 ； 態度 ； 意願

並列摘要

Background: With aging populations steadily rising, elderly care has become one of the primary healthcare issues of the 21st century. Caregiver willingness and attitudes are critical factors affecting quality of care for the elderly.Purpose: The aim of the study was to explore the willingness and attitudes toward elderly care and related factors among nurses in a medical center.Methods: This study used a purposive sampling approach. Two hundred clinical nurses convenience sampled from a medical center in central Taiwan who met inclusion criteria received the structured study questionnaire. Threequarters (152, 76.0%) of the questionnaires were returned. The questionnaire consisted of a basic demographics datasheet and attitudes toward old people scale. Data were collected during April 2011. Statistical methods, including t -test, chi-square, ANOVA, and multiple and logistic regression, analyzed data using SPSS 12.0 for Windows.Results: Willingness and attitudes toward elderly care differed significantly among different nursing departments. Differences in care-giving willingness were significantly associated with education level, nursing department, and elderly care burden. Average scores indicated a relatively positive attitude toward the elderly. Slightly over twothirds (69.1%) of participants expressed willingness to care for the elderly. Such willingness was 0.395 times higher among nurses in the medical department than in the surgical department. Preference to ”regularly” provide care to elderly clients was 0.172 times that of ”often” providing care. Willingness of care among participants with a bachelor degree was 4.520 times that of those with a technical college degree. Participants who had never had related education were 0.272 times as willing to provide elderly care as those who had.Conclusions / Implications for Practice: The results of this study provided information regarding the willingness and attitudes toward elderly care of clinical nurses. Education on elderly care can improve nurses' willingness. The authors suggest placing increased importance on elderly-related education and including relevant courses in professional continuing training curricula to enhance nurse willingness and attitudes toward elderly care and promote elderly care quality.

並列關鍵字

elderly ； attitudes ； willingness