高齡照護核心課程：知識改善與照護信心調查

Curriculum on Geriatric Care: Improvements in Knowledge and a Survey of Self-perceived Care Competence

岳芳如(Fang-Ru Yueh) ； 胡芳文(Fang-Wen Hu) ； 陳宜君(I-Chun Chen) ； 羅玉岱(Yu-Tai Lo) ； 黃基彰(Chi-Chang Huang) ； 林岱嬋(Dai-Chan Lin) ； 蔡娟秀(Chuan-Hsiu Tsai) ； 張家銘(Chia-Ming Chang) ； 王英偉(Ying-Wei Wang)

《台灣老年醫學暨老年學會雜誌》 15卷3期 (2020/08) Pp. 164-181

https://doi.org/10.29461/TGGa.202008_15(3).0002

摘要

目的：醫院推動長者友善照護模式是以長者為中心進行跨專業團隊照護，然國內相關的概念及教育培訓甚少。本研究旨在以推動「醫院推動長者友善照護模式為目標」，設計高齡照護核心課程，培育所需高齡照護專業人才，並驗證其成效。方法：本研究採前實驗研究設計，於高齡照護核心課前檢視學員之高齡照護核心知識、高齡照護態度、自評高齡照護能力，並於課後立即評估高齡照護知識改善及滿意度調查。結果：共43位學員參加課程，有效問卷為40份。經課程介入後，高齡照護知識平均得分為19.8±1.6分（總分為22分），高於前測16.9±2.4分（p=.001）。知識進步最多的三個項目為高齡者安寧療護與靈性照顧、衰弱症與肌少症及長者預防保健與健康促進。學員高齡照護態度普遍呈現正向。學員自評高齡照護能力最佳的三個項目為能了解跨專業老年醫學團隊之理念及運用模式、能與跨專業團隊進行個案整體性問題評估與相關方法之研討及能了解周全性老年醫學評估工具之項目與內容。高齡照護培訓課程滿意度之平均總分為55.2±1.3分，單項分數為3.7±0.5分，接近很滿意。討論：本核心課程可有效提升學員於高齡照護知識，未來需進一步探討課後對高齡照護態度改變狀況及自評高齡照護能力信心之成效。

關鍵字

高齡照護 ； 培訓 ； 教育 ； 長者友善照護模式

並列摘要

Objectives: The Acute Care for Elderly (ACE) unit is a prototype interdisciplinary team care model for inpatient care of older adults. The ACE training curriculum, however, has remained rare in Taiwan. The study accordingly aimed at investigating the effectiveness of a core curriculum based on the ACE training model. Methods: The study adopted a pre-experimental design with the participants completing a pretest (about knowledge, attitude and self-perceived competence) and a post-test (about knowledge and satisfaction) before and after the core curriculum was implemented. Results: Of the 43 enrolled participants, 40 completed the questionnaire. The overall average score after the implementation of the geriatric care curriculum was 19.8±1.6 (total score=22), statistically significantly higher than the pretest score (16.9±2.4). ＂Hospice and palliative care for elderly people,＂ ＂Sarcopenia and Frailty,＂ and ＂Older adults' preventive medical care and health promotion＂ were the three units achieving the highest improvement in terms of knowledge scores after the curriculum was implemented. Most of the participants' attitudes toward older adults were positive, and greater confidence was noted in understanding the concepts and applications of a geriatric interdisciplinary team model, working with the team to assess and discuss related issues concerning the patient, and practicing the uses of comprehensive geriatric assessment tools. In terms of satisfaction with the curriculum, the average total and item scores were 55.2±1.3 (total score=60) and 16.9±2.4, respectively. Conclusion: The core geriatric care curriculum appears to be capable of improving participants' knowledge of geriatric care. Further studies are needed to investigate improvements in attitude and self-perceived competence after the curriculum is implemented.

並列關鍵字

geriatric care ； training ； education ； Acute Care for Elderly