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護生的死亡態度與對老人之態度以及兩者之關係和影響因素

A Study of Attitudes Toward Death and Attitudes Toward the Elderly Among Senior Nursing Students, the Relationship Between Them, and Related Factors

摘要


本研究旨在探討護生的死亡態度與對老人態度的現況及兩種態度的相關因素。採便利取樣方式,以修訂過的兩套問卷,請225位南區某專科高年級護生自願填寫,並以SAS統計軟體進行資料分析。研究結果有六個重要發現:(1)大部份的護生對死亡有負向的態度,其中以死亡不自在因素爲影響最大;然而對老人存在著正向態度,其中以老人潛能爲最大;(2)護生對於死亡的態度與對老人的態度兩者間有顯著的正向相關性存在,亦即護生對死亡態度愈正向,其對老人的態度也愈正向;(3)未選修老人護理者比選修者具有較負向的死亡態度及較負向的對老人態度,主要原因是未選修者少了探討死亡相關議題的機會及未受老護課程的活動設計之影響;(4)相信死後有鬼魂形式之存在者比不相信者的死亡態度較負面;(5)主動與他人討論死亡的護生比不主動者具有較正向的老人態度;(6)年齡愈大的護生對老人的態度愈正向。此外,本研究就研究結果進行對並提出建議,在護理教育方面,有需要開設與死亡相關的課程,在老護課程設計上需偏重情意教學;臨床實務方面,增列死亡課題的在職教育;以及在未來研究方面,可接及到長期照顧機構工作人員的施測,以及進一步探護生對鬼魂及死亡過程的信仰。

關鍵字

死亡態度 對老人態度 護生

並列摘要


The purpose of this study was to explore attitudes toward death and toward the elderly among nursing students, and the relation between these two attitudes. Related factors are also discussed. 225 junior college nursing students selected by convenience sampling from southern Taiwan participated in this study with their consent. The data were analyzed using SAS statistical software. Six important findings were drawn form this study: (1)Most of the nursing students held negative attitudes toward death, but positive attitudes toward the elderly; (2) There was a positive correlation between attitudes toward death and attitudes toward the elderly; (3)Nursing students not taking Gerontological Nursing had more negative attitudes toward death and attitudes toward the elderly; (4) Students believing in the existence of the soul after death had more negative attitudes toward death; (5) Those students initially talking with others about death had more positive attitudes toward the elderly; (6) Older students had more positive attitudes toward the elderly. Some suggestions are made on the basis of these research results. With respect to nursing education, there is a need to design death related courses and focus on emotional teaching methods. With respect to clinical practice, it is necessary to hold death related continuing education. Further research may be extended to long-term institution workers and explore beliefs about ghosts and the death process among nursing students.

參考文獻


Arnautou, D.(1991).Death, dying and society.England:Lawrence Erlbaum Associates, Inc.
Depaola, S. J.,Neimeyer, R. A.,Lupfer, M. B.,Fiedler, J.(1992).Death concern and attitudes toward the elderly in nursing home personnel.Death Studies.16(6),537-555.
Depaola, S. J.,Neimeyer, R. A.,Ross, S. K.(1994).Death concern and attitudes toward the elderly in nursing home personnel as a function of training.Death Studies.29(3),231-248.
Dillard, B.,Feather, B. L.(1989).Attitudes of in-home care aides toward elderly persons: Refinement of the oberleder attitude scale.Perceptual and Motor Skills.69,1103-1106.
Dillard, B.,Feather, B. L.(1991).The association between attitudes and job satisfaction.Educational Gerontology.17,209-218.

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