探討印尼籍看護的照顧支持需求程度及其相關因子

Care-support Needs of Indonesian Homecare Workers and Related Factors

楊雅萍(Ya‐Ping Yang) ； 王靜枝(Jing‐Jy Wang) ； 王惠珍(Hui‐Zhen Wang) ； 王琪珍(Chi‐Jane Wang)

《護理暨健康照護研究》 9卷1期 (2013/03) Pp. 65-73

https://doi.org/10.6225/JNHR.09.1.65

摘要

背景：許多外籍看護在未接受照護相關職前訓練情況下，就被聘來台照顧居家病人。因此，適時地提供他們在照護上所需的支持或資源，可協助他們早日適應此工作。目的：探討印尼籍居家看護於照顧病人時之照顧支持需求及其相關因子。方法：為橫斷性相關性研究。研究對象為120位被聘來台照顧居家病人之印尼籍看護，所照顧的病人是兩家醫學中心與一家區域醫院附設居家護理機構的護理師服務之個案。採已具良好信效度之印尼版照顧支持需求問卷共11題，內容包含工具性、情緒關懷、資訊性與評價性等四類支持。研究員以家訪方式進行自填式問卷資料收集，以階層式複迴歸分析資料。結果：結果顯示，工具性照顧支持需求是四類支持需求中最高的、次之為情緒關懷、資訊性支持與評價性支持。而在各支持需求項目中，以「提供照顧參考實用書籍」之支持需求百分比最高。階層式複迴歸模式顯示：看護學歷、家屬協助照顧時數、看護口語表達及協助病人服藥等預測照顧支持需求程度達顯著意義，總解釋力達20%。結論／實務應用：本研究發現印尼籍看護照顧居家病人需要各類的支持，此資訊可提供我國勞工局與社區照護單位在規劃外籍居家看護時之職前訓練規劃參考，以減低外籍看護的適應壓力並提升其照顧品質。

關鍵字

印尼籍看護 ； 居家護理病人 ； 照顧支持

並列摘要

Background: Many foreign homecare workers in Taiwan assigned to care for patients in home settings lack pre-employment training. Proper supports related to their care needs will facilitate their adaptation to perform care tasks effectively. Purpose: Aims of this study were to survey the care‐support needs of Indonesian homecare workers and identify factors related to these needs. Methods: We used a cross‐sectional, correlational design with a quantitative approach. Study subjects were 120 Indonesian care workers hired to care for home‐based care recipients. These care recipients were identified from two medical centers and one regional hospital. The care‐support questionnaire Indonesian version, including 11 items with adequate validity and reliability, was employed for data collection. The questionnaire included the four care‐support subscales of instrumental need, emotional need, information need, and evaluation need. Data were collected via the self‐administered survey during home visits. Multiple-hierarchical regression was used to analyze data. Results: Findings indicated instrumental need as the priority need of participants, followed by emotional need, information need, and evaluation need. Among the 11 items, a practical care reference manual for taking care of patients was identified as the most urgent need. Multiple‐hierarchical regression analysis showed that, in the final model, care worker education level, responsibilities shared by the family, linguistic ability, and use of prescription medicine all significantly contributed to care‐support needs, accounting for a combined 20% of total variance. Conclusions / Implications for practice: Study results demonstrated that Indonesian homecare workers require a variety of supports in order to provide care for home‐based patients in Taiwan. Information obtained in this study may serve as a reference to both labor and community healthcare planners to improve their design of pre‐employment training programs for Indonesian homecare workers.

並列關鍵字

Indonesian home care worker ； home care patient ； care‐support