護理人員對出院準備服務之知識、態度、行為及其相關性探討~以某區域教學醫院為例

A Correlational Study among Nurse’s Knowledge, Attitude and Behavior Toward Discharge Planning In a Community Teaching Hospital

鄭幸蓉(HSING-JUNG CHENG)

指導教授 ： 董和銳

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2009年)

摘要

出院準備服務是急性醫療與長期照護連結的重要橋樑。對於慢性疾患之病人，若未接受出院準備服務即離開醫院，極可能於短時間內再入院，造成整個醫療資源的耗費。護理人員是出院準備服務的專責人員，其對病人出院準備服務的了解，是出院準備服務成功的關鍵。本研究目的爲瞭解護理人員對出院準備服務之知識、態度及行為狀況，採橫斷性研究，以自擬結構式問卷調查某區域教學醫院470位護理人員，回收有效問卷 409份，回收率87.02%。
研究結果發現大多數護理人員的出院準備服務之知識、態度、行為均處於中等程度，「有接受過教育訓練」及「有出院準備服務經驗」者，其知識、態度、行為程度較高。而「年資」、「年齡」和「態度」之間則有顯著相關。多元迴歸分析顯示護理人員的「工作單位」、「接受過教育訓練」及「有出院準備服務經驗」是護理人員出院準備服務知識和行為的重要變項。而「敎育程度」、「接受過教育訓練」及「有出院準備服務經驗」則為護理人員出院準備服務態度的重要變項。護理人員出院準備服務的知識、態度與行為之間呈現正相關。本研究結果建議，若希望進一步增進病人的出院準備服務，在出院準備服務工作上更多的教育訓練是必要的。

關鍵字

出院準備服務 ； 知識 ； 態度 ； 行為

並列摘要

Discharge planning is a crucial element in bridging the transitions between acute medical care and long-terms care (LTC). Patients with progressive chronic conditions left hospitals without a discharging planning is more likely to be re-admitted in a short period, which increases the overall medical expenditure dramatically. Staff nurses are responsible in this area and their understanding of patient discharging planning is the key to a successful discharging planning.
The purpose of this study was to investigate nurse’ knowledge, attitude and behavior regarding patient discharge planning. A cross-sectional design was used. A structured questionnaire was administered to 470 staff nurses in a Community Teaching Hospital and 409 responded. Response rate was 87.02%.
Results showed that most of the respondents’ knowledge, attitude and behavior about patient discharge planning were around medium level. Higher levels of knowledge, attitude and behavior were found among those who had received training and those who had experience in patient discharging planning. Significant correlations were also found between respondents’ seniority, age and attitude Multiple regression analysis revealed that nurses’ serving unit, previous training and caring experience were significant variables in predicting nurses’ knowledge and behavior of patient discharging planning, while nursing degree , previous training and caring experience were significant variables in predicting nurses’ attitude towards patient discharging planning. Finally, the levels of knowledge about discharge planning were positively correlated with their attitude, and behavior among the respondents. These findings indicate that, if we wish to further promote patient discharging planning, more on-job training on this topic is needed.

並列關鍵字

discharge planning ； knowledge ； attitude ； behavior

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