病房助理員死亡態度以及其照顧瀕死病患行為之研究

The Study of Nursing Assistant s’ Attitudes Toward Death and Their Caring Behavior toward Dying Patients

徐美慧(Mei-Hui Hsu)

指導教授 ： 黃松元

國立臺灣師範大學/教育學院/衛生教育學系/碩士(2006年)

摘要

本研究主要目的是在於了解病房助理員的個人基本資料變項（性別、年齡、婚姻狀況、宗教信仰、教育程度）及環境經驗變項（健康情形、家中談論死亡的情形、接觸死亡經驗）對其死亡態度和瀕死病患照護行為之現況及相關性。本研究採橫斷性研究法，以結構性自填式問卷調查法收集資料，以立意取樣法選取台北市立聯合醫院某三院區共155名病房助理員為研究對象。以描述性統計、單因子變異數分析、薛費氏事後比較和皮爾森積差相關等統計方法進行分析。
本研究結果歸納如下：研究對象平均年齡為49.55歲，以女性、已婚、高中職、信仰佛教者居多。健康情形方面，以不曾經住院開刀者、不曾罹患嚴重疾病者、自覺健康狀況良好者居多。另外，家中談論有關死亡的話題的情形很公開者佔多數，而在接觸死亡經驗中，過去二年內有重要親友死亡或瀕死者及曾經參加過喪禮者佔多數。在死亡態度方面以恐懼他人死亡層面的得分最高，在瀕死病患照護行為以對瀕死病患身體的照護行為為最多。病房助理員的死亡態度因宗教信仰、家中談論死亡主題的情形不同而有顯著性差異；病房助理員對瀕死病患的照護行為會因健康情形、接觸死亡經驗的不同而有顯著性差異，且其死亡態度與對瀕死病患照護行為之相關情形為負相關。

關鍵字

病房助理員 ； 死亡態度 ； 瀕死病患照護行為

並列摘要

The purpose of this study was to explore the correlations between nursing assistants’ background（sex,age,marital status,religious belief,
education level）,environmental variables（health,family’s discussions over death ,experiences in confronting death）and their attitudes toward death,on the one hand,and the relationship between their attitudes towards death and their caring behaviors to the dying patients,on the other.Data were collect though cross-sectional questionnaire survey and purposive sampling used.A total number of 155 nursing assistants in Taipei City Hospital was interviewed,and data analyzed by means of frequency distribution,one-way ANOVA,post Scheff’s examination,and Pearson product-moment correlation.
The main results can be summarized as follows:The interviewees are 49.55 years old on average.They are all married female Buddhists,
and get high school degrees.As far as their health is concerned, those nursing assistants have never gone through operations,been hospitalized,or gotten serious diseases.Most of all,they were all aware of their good health condition.Open discussions concerning death was commonplace among families.majorities of them suffered from close friends’ and relatives’ deathes or near deathes in the past two years.As for their attitudes towards death,the「fear of other’s death 」scored pretty high.In caring dying patients,their physical care was
emphasized the most.Finally,the nursing assistants’attitudes toward death vary significantly because of their religious belief and the way they talk about death in families.And their caring behaviors toward the dying patients also vary significantly because of their health and experiences in confronting death.There are negtive significant correlation between attitudes toward death, and caring behaviors to the dying patients.

並列關鍵字

nursing assistants ； attitudes toward death ； caring behaviors toward the dying patients

參考文獻

吳麗玉、林旭龍、呂昌明（1999）•護理學院學生死亡態度之研

藍育慧（1995）•護專學生死亡恐懼、死亡態度及照顧瀕死患者

臺北市政府衛生局（2003a）•臺北市政府衛生局施政報告•2006/

態度、死亡教育態度及其相關因素之研究•高雄：復文。

許禮安（2000）•靈性照顧之我見•安寧療護雜誌，5（2），11-13。