探討護理人員與開放性肺結核病患對關懷照護認知之差異及其影響因素

Nurses with Open Pulmonary Tuberculosis Patients on the Cognitive Level of Caring Difference

黃照雲(Chao-Yun Huang)

指導教授 ： 張文正

共同指導教授 ： 陳穆寬

長榮大學/健康科學學院/醫學研究所/碩士(2009年)

https://doi.org/10.6833/CJCU.2009.00106

摘要

本研究主要是探討護理人員與開放性肺結核病患對關懷照護認知之差異。選取某區域教學醫院內科隔離病房之護理人員21人及開放性肺結核病患27人為研究對象。研究工具以最常被使用的關懷照護評估工具CARE-Q量表，並引用齊珍慈關懷照護認知評量表，於本研究使用。取得原作者及研究對象同意，採用Q研究法之Q歸類法收集資料並進行資料統計分析。研究結果顯示發現病人與護理人員認為相同的關懷照護，是第39題能夠詢問病患喜愛如何被稱呼，第46題能知道如何給予注射技術及正確操作各項設備，如點滴靜脈注射、抽痰機等，及第31題能與病患一起確定何時是討論其病情變化的最佳時間。而護理人員與病人認為不重要的關懷照護是第19題能傾聽病患的感受及第24題瞭解病患所能忍耐的限度，並做出因應對策，例如：再安排一次檢查、篩選訪客、確保病患或家屬的隱私是相同的。希望藉此研究探討護理人員關懷照護對於病人所感受到關懷的異同，進而改變服務態度及行為，使照護工作更能滿足病人的需求﹐減少病人安全問題的產生，並且對於改善護理品質方面有所幫助。

關鍵字

開放性肺結核 ； 關懷照護 ； CARE-Q量表

並列摘要

This study primarily probes into the cognitive differences between nursing assistants and invalids with pulmonary tuberculosis of contagiousness. 21 nursing assistants, from an isolation ward of internal medicine in a teaching hospital, and 27 invalids, with pulmonary tuberculosis, were chosen as our research target. CARE-Q Scale, frequently used, is taken as the evaluation tool of nursing care, and the Qi Zhen-Ci one is also cited for the research use. Having acquired the approval from the author and research targets, we adopted Classified Study Q in order to compile statistics of collected and analyzed data. The study shows that the equal nursing care which the invalids and nursing assistants concern the most is as the follows: q.39: Ask the invalids their preferable name call, q.46: the familiarization of doing the injection work and operating all the medical appliances, such as intravenous drip injection and using the suction machine, and q.31: the appropriate occasion of discussing the infirmity condition with patients. Furthermore, the less important concern which both sides regard as is as the follows: q.19: Listen attentively to the invalids’ feeling, and q.24: Perceive the degree that the invalids could keep patience, and make the quick reaction and strategy. For example, rearrange the examination for the invalids, sift the visitors out, and make sure that the privacy of invalids is as the same as that of the family members, by which this could fluently research into the similarities and dissimilarities that relate to the exertion of nursing care of assistants on patients’ feeling, changing the nursing assistants’ attitude and service toward them, making the nursing care work satisfy with the need of invalids, decreasing the possible security problems, and generating some help toward the improvement of nursing care quality.

並列關鍵字

pulmonary tuberculosis of contagiousness ； nursing care ； CARE-Q Scale

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