台中某社區民眾之安寧療護知識及其影響因素

A Community Study of the Level and the Influential Factors of Palliative Care Knowledge

黃惠美(Hui-Mei Huang) ； 郭碧照(Bih-Jaw Kuo) ； 胡中傑(Chung-Chieh Hu) ； 謝玉玲(Yu-Ling Hshieh) ； 黃曉峰(Sheau-Feng Hwang)

《安寧療護雜誌》 10卷4期 (2005/11) Pp. 371-383

https://doi.org/10.6537/TJHPC.2005.10(4).5

摘要

癌症是國人十大死因之首，且死亡數逐年增加，因此安寧緩和療護的知識顯得更重要。本研究目的在了解社區民眾對安寧療護知識程度，採橫斷式調查法，於民國93年8月至10月，以自擬結構性問卷，針對台中某社區20歲以上民眾，簡單隨機抽樣，共發出8%份問卷，310人同意參加，回收率佔34.6%。研究結果樣本平均年齡為44.7歲，宗教信仰以一般民間信仰最多占為46%，而其中醫療人員僅占2.9%。對安寧療護之知識正確率約50%；問卷內容答錯比率，依序為嗎啡使用知識、健保規定可以住進安寧病房的對象、安寧療護如何幫助病人及疼痛控制。影響其安寧療護知識得分較高的因素為女性、年齡較輕者、教育程度專科以上、醫療人員、聽過安寧病房者及參加安寧講座者。經由本研究結果顯示該社區民眾對安寧療護的認知有待加強。建議可對民眾加強宣導對末期病人的照顧政策，特別是年紀大的民眾，推廣教育著重澄清嗎啡的使用目的及方法，減少國人對嗎啡的誤解。

關鍵字

安寧療護知識 ； 社區民衆

並列摘要

Malignant neoplasm has been the leading cause of death in Taiwan since 1982. The mortality rate is increasing each year, which makes it important to have appropriate knowledge about the hospice palliative care in the end of patients' lives. This study is aimed to survey the level of knowledge about palliative care in the local community. During August to October, 2004, a structured questionnaire was developed and given to the participants in a local community. The sample frame of the participants was a list of local people who were older than 20 years. Using simple randomized sampling technique by computer, 896 was sampled and 310 of them agreed to participate. The retrieval rate was 34.6%. The questionnaire was completed on face-to-face basis.
The characteristics of the participants included: average age 44.7 years, 46% being followers of traditional belief, 2.9% being health care professionals. The level of knowledge was defined as the rates of correct answers for each question. Some of the items were least understood, with the percentage correct answer less than 50%. They were the knowledge on Morphine usage, the type of diseases subject to hospice inpatient care under current national health insurance, and how hospice palliative care helps in symptom control and patient care. Relevant factors for better knowledge level include female, younger age, higher educational level, health care professional, ever heard of hospice care, and prior attendance to lectures about hospice.
The study shows that there are still rooms for improvement in hospice palliative care education among lay people in the community. The authors suggest to propagate the current policy of care by the national health insurance to the public, especially to the elderly with special focus on the illumination of the aims and techniques in opioid usage, which may reduce the misunderstanding among the public towards opioid usage in terminally-ill cancer patients.

並列關鍵字

hospice palliative care ； lay people