加護病房護理人員面對死亡恐懼之相關因素探討-以南部某醫學中心為例

Factors Associated with the Fear of Death among Intensive Care Nurses at a Medical Center in Southern Taiwan

章雅茜(Ya-Chien Chang) ； 黃淑倫(Su-Lun Hwang) ； 張家豪(Chia-Hao Chang) ； 戴弘政(Hung-Cheng Tai)

《華醫學報》 44期 (2016/06) Pp. 127-140

摘要

本研究旨在探討加護病房護理人員對於死亡的恐懼及其影響因素。本研究為橫斷性研究設計，以方便取樣方式選取台南市某醫學中心內科加護病房護理人員為研究對象，以結構式問卷進行資料蒐集，內容包括基本資料與死亡恐懼量表，共蒐集30位參與者資料，以無母數統計分析方法Mann-Whitney檢定、Kruskal-Wallis檢定與Spearman's rho進行分析。研究結果發現：護理人員年齡平均31.3歲(標準差3.91)，加護病房(Intensive Care Unit, ICU)工作年資平均6.6年(標準差3.74)，照護臨終病患死亡經驗以10人以上佔最主要(73.3%)。加護病房護理人員對死亡恐懼的平均值以「恐懼自己瀕死」最高，對「恐懼自己死亡」最低。護理人員年齡愈大，「恐懼自己死亡」與「恐懼他人瀕死」得分愈低。結論：年齡可能影響內科加護病房護理人員面對死亡的恐懼，研究結果可供護理人員專業教育之參考，期望有助於對病患照護品質的提升。

關鍵字

加護病房 ； 死亡恐懼 ； 護理人員

並列摘要

This study aimed to analyze the factors associated with the fear of death among nurses working for the intensive care unit (ICU) at a medical center in southern Taiwan. A cross-sectional study of a convenient sample of 30 participants was conducted. A structured questionnaire was used to collect data on the fear of death. Statistical methods, including Mann-Whitney test and Kruskal-Wallis test, and Spearman's rho were used to analyze the collected data. The results showed that participants' average age and working experience were 31.3 (standard deviation 3.91) and 6.6 years (standard deviation 3.74), respectively. Most of the nurses (73.3 %) had experience of caring over 10 terminally-ill patients. According to the items mean scores, ＂fearing self-dying＂ was the highest; while ＂fearing death of self＂ was the lowest. Increased age was associated with decreased scores in ＂fearing death of self＂ and ＂fearing dying of others＂. This study shows that ICU nurses' age could affect their attitude toward death. Implications of this research may include providing a reference for nursing education program and suggestions for the quality of patient care.

並列關鍵字

intensive care unit ； nurse ； fear of death