中彰地區長期照護機構工作人員對安寧療護之知識、態度及行為之探討

蕭麗雯(HSIAO LI WEN)

指導教授 ： 藍守仁

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2008年)

摘要

本研究目的為探討長期照護機構之工作人員對安寧療護之知識、態度與行為之探討，採橫斷面之相關研究設計,以台中及彰化地區護理之家、安養中心、養護中心之護理人員及照護服務員為研究對象，總共發出210份，回收有效問卷為187份，其回收率約89%。問卷回收後資料先經譯碼建檔後，以SPSS/Window12.0中文版套裝軟體進行統計分析，採描述性統計分析法分析資料，包括人數分配、百分比、平均值、標準差；推論性統計以t檢定、單因子變異數分析（one-way ANOVA），並用薛費氏事後比較分析，皮爾森積差相關（Pearson’s correlation）進行統計分析。結果顯示(1) 安寧療護的知識總分75分，平均得分58.71分（SD=6.45），答對率為72%；(2)對安寧療護的態度總分60分，平均得分為48.56分（SD=5.50）；(3)對安寧療護的行為總分40分，平均得分為33.61分（SD=4.21）；(4) 長期照護機構之工作人員對安寧療護之整體知識、態度與行為具有顯著的正相關（p＜.01），即安寧療護知識得分越高，態度越正向其安寧療護參與行為越多。本研究結果可作為護理實務、護理行政及護理教育等方面之參考依據，並作為機構主管擬訂在職教育及改善末期病患照護政策之依據，最終達到提升機構中工作人員對末期老人之照護品質。

關鍵字

安寧療護 ； 知識 ； 態度 ； 行為

並列摘要

The purpose of this study was to explore the nursing Staff’s knowledge, attitude, and behavior toward hospice care in long-term care facilities in Taichung and Changhua. The results were analyzed by descriptive and inferential statistics. Cross-sectional and correlational design were used in this study. A structural questionnaire was give to 210 Staff.187 out of 210 were valid and response rate was 89%.The data collected were analyzed with descriptive statistical methods including percentage mean and standard deviation. deductive statistical methods including T-test, one-way ANOVA, Pearson’s correlation conefficient, and scheffe’s method.
The results showed(1)The score of knowledge about hospice care was58.71±6.45 with a correct rate of 56%.(total score:75)；(2)The score of attitude toward hospice care was 48.56±5.50 (total score:60)；(3) The score of the respondents were willing to participate behavior hospice care was33.61±4.21 (total score:40)；(4) Knowledge of hospice care and assessment behavior for hospice care are positively correlated Knowledge of hospice care and assessment behavior for hospice care are positively correlated. Attitude toward elderly urinary-incontinence and behavior toward elderly hospice care are positively correlated.
The result of this study provides excellent references for clinical nursing practice, nursing administration and nursing education. It also helps to improve training in nursing care for hospice care and policy- making in long-term care facilities This may eventually lead to better nursing care quality for hospice care.

並列關鍵字

Hospice care ； knowledge ； attitude ； behavior

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