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  • 學位論文

安寧療護理念衛教方案介入對大學生善終信念、安寧療護知識及接受度之影響

The effects of Palliative Care Health Education Program on good dying belief, Knowledge and Acceptance of Hospice Care with a college student

指導教授 : 黃久秦
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摘要


衛生署自民國八十四年即開始積極推展安寧療護服務,然每年死於癌症患者中,卻僅少數患者是在接受安寧療護的照護下死亡。 本研究目的在探討大學生之善終信念、安寧療護知識及安寧療護接受度,並評值「安寧緩和療護理念」介入後之成效。採前-後測準實驗研究設計,以自擬之結構式問卷為評價成效之工具。係以中部某大學學生為研究對象共分為三組,前後測配對後共得有效樣本116位。實驗組46位,對照組一樣本40位、對照組二樣本30位。實驗組於前測之後,給予衛教方案介入。所得資料以描述性統計、配對T檢定、共變數分析、皮爾森相關係數分析及回歸分析等方法進行分析。 主要結果發現:研究樣本中八成之研究對象聽過「安寧療護理念」,其資訊來自主要為媒體。有36.2﹪之研究對象家人或親友曾因癌症過世,卻僅14﹪之家人或親友接受過安寧療護服務。整體而言,研究對象有高的善終信念,而安寧療護知識得分居中。「安寧緩和療護理念」衛教介入後之成效上:實驗組「善終信念」更趨正向、「安寧療護知識」顯著增高、對「安寧療護之接受度」意向高;安寧療護之接受度與善終信念呈現正相關。 故本研究設計之「安寧療護理念」教育計畫對提升大學生善終信念、安寧療護知識具有顯著成效,為值得推廣的宣導模式。

並列摘要


The research purposes is to discuss the related believe of Good dying, knowledge, acceptance intention of hospice care for the college student, and to evaluate the influence of palliative care health education program. The research uses pretest-posttest quasi-experimental design and structured questionnaires to evaluate the effect of the instruction program. This researchable object are college students of Teaching, in purposive sampling, There are totally 116 college students who completed pre-test and post- test questionnaire, the experimental group contains 46 students, the control group I contains 40 students, the control group II contains 30 students. Only the experimental group is educated with the instruction program after the pretest trial. The major results were as follow: Over 80% of the subjects had hospice/ palliative care. The students’ sources of the hospice/ palliative care knowledge are from “Media advertising” .36.2﹪of the samples’ had that family death by cancer, only14﹪that family had hospice care. Overall, the higher the scores of the good-death belief, and the meddler scores of the knowledge in pretest trail.The subjects of experimental group had significantly better improvement in belief of good dying, hospice knowledge, and the higher acceptance of hospice care. The correlation of the acceptance and the good-death index scores is positive. Overall, our research of the instruction program for the college student is effective on the belief of good dying, knowledge growing, acceptance of hospice care and it is a good assistant tool that needed to be popularized by everyone.

參考文獻


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被引用紀錄


黃陳洋(2011)。長照機構照護人員善終信念與照護臨終住民態度之相關〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215470869

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