安寧病房醫護人員對病患使用輔助療法的態度

Attitudes of Physicians and Nurses towards Complementary Medicine Use among Patients in Hospice Wards

林育靖 ； 葉月嬌 ； 賴允亮 ； 辜美安

《安寧療護雜誌》 16卷1期 (2011/03) Pp. 27-41

https://doi.org/10.6537/TJHPC.2011.16(1).3

摘要

本研究旨在探討安寧病房醫護人員對病患使用輔助療法的態度。採橫斷性研究，以國內三所安寧病房的醫院醫師與護理師進行問卷調查。問卷內容包括人口學、醫護人員對輔助療法的態度及參與輔助療法相關課程的意願。輔助療法分為芳香療法、藝術療法、心靈療法、飲食療法、中醫療法及民俗療法共六類。問卷共回收95 份，包括醫師28 人及護理師67 人，回收率達74.8%。數據以單因子變異數分析進行療法組間比較及以t 檢定比較醫護兩組之差異後，發現醫護人員對芳香療法、藝術療法和心靈療法緩和病患身體與心靈症狀的態度較正面。護理師對芳香療法的整體態度及對緩和病患心靈症狀效果顯著較醫師為正向，但醫師在中醫療法對緩和病患身體症狀效果則顯著較護理師正向。本研究結果有助於提供安寧療護機構瞭解醫護人員對病患使用不同輔助療法的態度。建議安寧病房團隊應針對輔助療法交換意見，了解雙方立場，並加強對輔助療法的認識。

關鍵字

輔助及替代醫療 ； 安寧醫護人員 ； 態度 ； 癌症病患

並列摘要

The aim of this study was to investigate the attitudes of medical staff towards complementary medicine use among patients in hospice wards. A cross-sectional study design was used to survey physicians and nurses working in the hospice wards of three hospitals in Taiwan. The questionnaire included questions on demographic characteristics, the attitudes towards complementary medicine and the willingness to participate in educational courses on complementary medicine. In this study, complementary medicine was classified into six categories, namely, aromatherapy, art therapy, mind-body therapy, diet-based therapy, traditional Chinese medicine, and folk remedy. A total of 95 questionnaires were returned (response rate 74.8%) and the participants consisted of 28 physicians and 67 nurses. Analysis of variance was used to compare the six therapies and t-test was used to compare the differences in attitudes between physicians and nurses. Results indicated that the attitudes of medical staff towards aromatherapy, art therapy, and mind-body therapy in alleviating physical and mental symptoms were more positive. Nurses, compared with physicians, held significantly more positive attitudes towards aromatherapy and in its effectiveness in alleviating mental symptoms in patients. On the other hand, physicians, compared with nurses, held a significantly more positive attitude towards traditional Chinese medicine regarding its effectiveness in alleviating physical symptoms in patients. Findings from this study can provide institutions with hospice services an understanding of the attitudes of medical staff towards their patients’ use of complementary medicine. Medical team members of hospice wards should exchange their ideas regarding complementary medicine, seek to appreciate each other’s perspective, and be knowledgeable about complementary medicine.

並列關鍵字

complementary and alternative medicine ； hospice medical staff ； attitude ； cancer patient