五專護理科學生對長期照護之知識'態度與照護意願之探討

The nursing college students' knowledge, attitude and willingness on long term care.

施美倫(SHIH MEI LUN)

指導教授 ： 鄭讚源

亞洲大學/健康學院/長期照護研究所/碩士(2008年)

摘要

中文摘要
近年來由於國民平均餘命延長，人口結構老化使得老年人口快速增加，隨著老年人口的增加，「長期照護」必然是21世紀健康照護的主題之ㄧ。本研究目的為了解護生對長期照護知識、態度與照護意願之情形，探討個人背景因素與長期照護相關課程對護理科學生長期照護知識、態度與照護意願的影響。研究對象為中北部某五專護理科95年度第二學期已完成長期照護課程與長期照護科別實習之學生，共130名，採結構式問卷進行調查，並以SPSS For Windows 12.0版之軟體進行T檢定、單因子變異數分析、薛費氏事後檢定、皮爾森積差相關分析、逐步複迴歸做推論性統計資料分析。
結果顯示護生對長期照護的知識平均得分為71.1分，籍貫在長期照護知識上呈顯著相關（F＝3.08，P＜0.05）。而護生對長期照護態度平均得分為3.7分，幾近「同意」，是否參與公益活動（F＝4.33，P＜0.05）、喜歡老人的程度（F＝3.17，P＜0.05）、實習醫院（F＝2.78，P＜0.05）、長期照護課程學期成績與實習成績（F＝14.32，P＜0.05；F＝27.3，P＜0.05）、長期照護課程與實習感受（r＝0.04，P＜0.01；r＝0.49，P＜0.01）在態度上呈現相關與顯著相關，其中長期照護實習感受、實習醫院、喜歡老人的程度、長期照護課程感受是預測態度得分高低的重要因子，共可解釋35.7％的總變異量。護生長期照護意願平均得分為3.2，幾近「尚可」，護生喜歡老人程度（F＝5.02，P＜0.05）、最不喜歡照顧老人（F＝2.44，P＜0.05）、長期照護課程與實習感受（r＝0.44，P＜0.01；r＝0.54，P＜0.01）。其中長期照護實習感受、最不喜歡照顧老人是預測照護意願得分高低的重要因子，共可解釋31.2％的總變異量。長期照護知識與態度呈正相關，相關係數為（r＝0.2），表示護理科學生長期照護知識愈豐富，其對長期照護態度就愈正向；態度與意願亦呈顯著正相關，相關係數為（r＝0.23），表示護理科學生長期照護態度若愈正向，愈願意從事照護工作。
本研究結果將可以作為護理學校課程教育的安排參考，以期多方面提升護生對長期照護之知識、態度與照護意願，以符合未來長期照護所需的護理人力。

關鍵字

照護意願 ； 知識 ； 長期照護 ； 態度

並列摘要

The nursing college students' knowledge,attitude and willingness
on long term care.
As average life expectancy is longer than before, the amount of senior citizen increased in country population. As the increasing of old people, Long term care has become one biggest issue in 21 century. The purpose of this research is trying to understand the knowledge, attitude and willingness of long term care from the nursing school students. To find out how a person’s background and long term care related courses affect it. We selected 130 students from the nursing school where located in north of Taiwan that had completed their internship in long term care for the year 2006. It’s an instructed survey, using SPSS window 12.0 version for the T examination, analyzed by 2-way ANOVA,Posteriori comparisons , Pearson's, Stepwise multiple regression for the statistic data base.
The average score among the students in long term care: The knowledge takes 71.1. The nationality of students in long term care is related obviously (F=3.08, P<0.05).
The attitude is 3.7, almost “Agree”. Willingness in public charity activities (F=4.33, P<0.05), the degree of fondness in old people (F=3.17, P<0.05), intern hospital, long term care course study & intern scores (F=14.32, P<0.05; F=27.3. P<0.05), course study & feeling in period of internship(R=0.04, P<0.01; R=0.49, p<0.01) indicated related. Assuming that the feeling of long tern care during internship, intern hospital, the fondness in old are what affects the scores the most, approximately 35.7%.
The willingness is 3.2, almost ”Fine”. The degree of fondness in old people (F=5.02, P<0.05), Dislike in old people (F=2.44, P<0.05), course study & feeling in period of internship(R=0.04, P<0.01; R=0.54, P<0.01). The course study & feeling in period of internship, dislike in old people affect the grade the most, approximately 31.2%.
Long tern care in knowledge & attitude is related positively, R=0.2. This means the higher knowledge the higher attitude: the relationship between knowledge & willingness is also positive, R=0.23. This shows more positive attitude, more willingness in long term care.
The research could be the reference in arranging nursing college education . We are hoping this could increase students’ abilities in long term care in knowledge, attitude and willingness for the future needs.

並列關鍵字

willingness ； attitude ； knowledge ； long term care

參考文獻

江筱璇（2004）．公共衛生護理人員對失智症照護的知識、態度與執行信心．未發表的碩士論文．台北：國立台灣大學護理學研究所。

吳淑瓊、江東亮(1995)．台灣地區長期照護的問題與對策‧中華衛誌，14（3），246-254。

行政院衛生署(2000)．台灣長期照護需求推估表．台北：行政院衛生署。

郭玉生（1999）．心理與教育測驗．台北：精華。

張媚、余玉眉、陳月枝、田聖芳（2005）．台灣護理人力規劃研究，台灣醫學，9（2），149-155。