護生對疾病末期不施行心肺復甦術行為意向及其相關因素研究-以中部某科技大學進修部四技護生為例

Nursing students is not implemented on the terminally ill intention to the DNR and related factors - The Central Taiwan University of ocience Technology continued education units of a nursing student, for example

劉芳伶(LIU FANG-LING)

指導教授 ： 黃雅文

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2011年)

摘要

本研究主要研究護生個人基本變項、死亡態度、不施行心肺復甦術認知、感受、行為意向，並探討其相關性。研究對象為台中市某科技大學四技進修部131名護生。以問卷調查法進行研究。以SPSS for window 18.0套裝軟體來進行分析，研究結果發現護生的死亡態度以「中性死亡接受」得分最高；在認知的部份有五成的護生認為安寧緩和醫療條例等於不施行心肺復甦術就是放棄積極治療；感受部份，得分最高分為能感受「插管/氣管內管」對病人造成痛苦；五等量表行為意向的部份，願意簽署不施行心肺復甦的同意書得分為3.56，但在做決定是容易的得分為2.31。死亡態度與不施行心肺復甦術行為意向有顯著相關。
宗教、自覺身心健康狀況、曾經歷親朋好友死亡、選修緩和療護課程，可解釋不施行心肺復甦術行為意向調整後的總變異量為18%。
建議全面普通性提供護生加強宗教議題及親朋好友死亡體驗之緩和療護課程、提升自覺健康狀態之健康體能課程，期以提升對不施行心肺復甦術行為意向。

關鍵字

護生 ； 不施予心肺復甦術認知 ； 死亡態度 ； 行為意向 ； 科技大學

並列摘要

The purpose of this study was to explore the nursing students’ demographic background, death attitudes, the cognition of DNR (Do Not Resuscitate), the perception of DNR, and the intention of DNR. The relationships between above each variable were discussed. The study adopted quasi-experimental design which 131 nursing students were selected from four-year continued education units of Central Taiwan University of Science Technology. The data was collected by questionnaire and analyzed by SPSS 18.0 version. The result shows that the score of “Neutral Acceptance of Death” in death attitudes was the highest. In the part of cognition, the fifty percent of nursing students thought that the “Hospice & Palliative Care Regulation” was similar to the “Do Not Resuscitate”, a way to abandon progress curing. In the part of DNR perception, most of nursing students felt that the patients suffered from the “tube/ endotracheal tube”. According to the behavioral intention within 5-point Likert scales, willing to sign the DNR gets 3.56 point and making decision gets 2.31 point. There is a significant correlation between Death attitudes and the behavioral intention of DNR.

18 percent of the adjusted total variance of students’ intention of DNR can be explained in the aspects of religion, awareness of mental health conditions, experienced of the death of a relative or friend, and taking course in palliative care.

Recommendations are made to provide the palliative care course, including religion, experienced of the death of a relative or friend, and mental health awareness course to enhance the nursing students’ intention of “Do Not Resuscitate” strategy.

並列關鍵字

Nursing Student ； Do Not Resuscitate ； The attitude toward the death ； The behavior of intention ； Technology

參考文獻

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