護理人員對住院老人照護知識、態度、及照護意願之探討：以南部某區域教學醫院為例

knowledge, Attitude, and Willingness of Nurses Toward the Elderly Care: The Example of Regional teaching Hospitals in Southern Taiwan

何靜玉(Ching-Yu Ho)

指導教授 ： 林壽惠

長榮大學/健康科學學院/護理學研究所/碩士(2009年)

https://doi.org/10.6833/CJCU.2009.00041

摘要

由於老人人口及平均餘命的快速成長，其罹病率與住院率亦隨之增加。而護理人員是老人照護團隊中的重要成員，為長時間與老人接觸的醫療專業人員，其對老人照護知識、態度、與意願等將會影響她們對老人的照護行為。故本研究的目的為瞭解護理人員對老人照護知識、對老人的態度及照護意願等的現況，以及三者間的相關性、並探討護理人員的基本屬性與三者間的關係。
本研究採用橫斷式描述性研究，以南部三所區域教學醫院符合收案條件之護理人員為研究對象，以普查方式進行，共發出358份問卷，問卷回收率為89.39 %，有效樣本共320位護理人員；使用結構式問卷為研究工具進行資料蒐集，再以SPSS for windows 12.0統計軟體進行資料分析。
研究結果顯示：1.護理人員對老人照護知識平均回答正確率為72.0 %，年齡、護理工作年資與老人照護知識呈顯著的正相關；2.護理人員對老人態度是偏正向的，平均得分為61.21分；3.老人照護意願的平均得分與自評得分的結果是一致的，都是偏正向的照護意願，而工作科別與照護意願呈現統計學上的差異；4.老人照護知識與自評照護意願得分呈顯著的正相關，而對老人態度得分與照護意願得分亦達顯著的正相關。
最後本研究發現，在老人護理教育課程與在職教育安排上，需再重新檢視。另外，對於研究限制與未來研究方向等，已詳加討論並給予建議。

關鍵字

護理人員 ； 老人照護知識 ； 對老人態度 ； 對老人照護意願

並列摘要

Since the increasing population and life expectancy of the elderly, there is also an increase in tendency of being sick and hospitalization. Because nurses are important part of the medical staff in elderly care, their knowledge, attitudes, and willingness of elderly care will have great influence on their nursing activity toward the elderly. The aim of this study is to realize their knowledge, attitudes, and willingness in caring elderly, and relationships among these three variables.
This is a descriptive and cross-sectional study design, using the census survey. The inclusion criteria of eligible subjects is clinical nurses from three regional teaching hospitals in Southern Taiwan. Sending out 358 questionnaires totally, the valid questionnaire recovery rate is 89.39%. The effective sample size involved 320 clinical nurses. Using structured questionnaires to gather data. Software SPSS for Windows version 12.0 will be used to analyze the data.
The result of this study showed that nurses’ knowledge in elderly care has an accuracy rate of 72.0%, age and years of working experience showed a significant correlation. The average score of attitude towards the elderly was 61.21, which has more positive attitude to those population. The average score of willingness to care the elderly is consistent with the result of self-report. Nurses who working in different units showed that there is significant difference in willingness of care the elderly. There is a significant correlation between elderly care knowledge and self-report of willingness. And the attitude towards the elderly was positively correlated with willingness of care elderly.
According to this study findings, gerontological nursing curriculum and on jod training program need to reevaluate. The limitations of this study and further research suggestion was discussed.

並列關鍵字

Nurse ； Knowledge of elderly care ； Attitude toward the elderly ； Willingness of elderly care

參考文獻

劉立凡（2003）•由文獻查證與實證的角度看一份短式老年知識問卷之應用•立德學報，1（1），112-129。

李世代（2003）•老年醫學（一）老年照護與老化之一般原則•台北：台灣老年醫學會。

陳玉敏、邱美汝（2002）•老人照護之目標•慈濟護理雜誌，1（3），34-39。

楊勤 （2001）•外科住院老人自覺需要之探討•新台北護理期刊，3（1），45-54。

魏玲玲、楊勤、虞秀紅、賴裕和（2000）•比較住院老人自覺需要與護士認知之差異•新臺北護理期刊，2（2），83-95。