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題名:非安寧病房護理人員對安寧療護知識及態度之初探
書刊名:長庚護理
作者:翁芝爾陳淑賢廖美南王正旭
作者(外文):Weng, Chih-erhChin, Shu-hsienLiao, Mei-nanWang, Cheng-hsu
出版日期:2005
卷期:16:1=49
頁次:頁12-22
主題關鍵詞:非安寧病房安寧療護知識態度General wardHospice careKnowledgeAttitude
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(13) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:13
  • 共同引用共同引用:35
  • 點閱點閱:44
     本研究目的主要探討非安寧病房護理人員對安寧療護的知識、態度及其相關,採橫斷式研究設計,以結構式問卷調查北部某區域醫院內科病房護理人員,所得有效問卷為122份,結果發現:(1)有94.3%護理人員照顧過「不施行心肺復甦術(Do Not Resuscitate, DNR)」病患,33.8%未曾接受過安寧療護照顧訓練,會主動向病患或家屬說明DNR有58.2%。(2)面對簽署DNR病患的心情,包括無力感(76.3%)、擔心(63.2%)、想哭(56.6%)、害怕面對(58.2%)、不知所措(55.8%)。(3)護理人員對安寧療護的知識及態度平均得分:7.51(SD=1.61)、87.2分。(4)工作年資、職級與安寧療護知識在統計上有顯著差異(F=2.38,p< .05;F=2.43,P< .05)。(5)職級、曾照顧DNR病患、主動向病患或家屬說明DNR照護與安寧療護態度在統計上有顯著差異(F=2.42,p< .05;t=2.76,P< .05,t=2.34,p< .05)。(6)照顧接受DNR病患情緒反應中,與安寧療護態度在統計上有顯著差異(r=0.29,p< .05)。本研究結果顯示,護理人員對安寧療護的知識有明顯不足且面對簽署DNR病患有無力感等現象,擬結果納入安寧療護在職教育規劃參考。
     The purpose of the study was to explore the knowledge and attitude toward hospice care among nurses in non-hospice ward. This cross-sectional study was consisted of 122 nurses from a regional hospital in northern Taiwan. Data were collected by a self-administered questionnaire. The results of the study showed that: (1) about 94.3% of the nurses had experience of taking care of Do Not Resuscitate (DNR) patients. In addition, 33.8% of the nurses never received training on hospice care and 58.2% of the subjects would explain DNR to patients or families. (2) Emotional responses of caring DNR patients included powerlessness (76.3%), worrisome (63.2%), sorrow (56.6%), fear(58.2%), and bewilderment (55.8%). (3) The average scores for knowledge and attitude of the hospice care were 7.51 and 87.2, respectively. (4) The knowledge about hospice care was associated with clinical ladder and working experience. (5) The attitude toward hospice care was associated with nursing clinical ladder, experience of caring DNR patients, and whether explaining DNR to patients or families actively. (6) The emotional response of facing DNR patients and the attitude of hospice care was also correlated (r=0.29, p< .05). Our study indicated that the knowledge of hospice care for nurses of non-hospice ward was insufficient and they felt powerless when facing DNR patients. Routine training on hospice care should be provided to nurses from non-hospice wards.
期刊論文
1.Samaroo, B.(1996)。Assessing palliative care educational needs of physicians and nurses: Results of a survey。Journal of Palliative Care,12(2),20-22。  new window
2.Johnson, C. B.、Slaninka, S. G.(1999)。Barriers to accessing hospice services before a late terminal stage。Death Studies,23,225-238。  new window
3.顧艷秋(20011000)。「安寧療護訓練專案」對護理人員照護瀕死病患之影響。公共衛生,28(3),205-216。  延伸查詢new window
4.Copperman, H.(1989)。Hospice home care services (letter)。Palliative Medicine,6,260。  new window
5.Reisetter, K. H.、Thomas, B.(1986)。Nursing care the dying: Its relationship to selected nurse characterisitics。International Journal of Nursing Studies,23(1),39-50。  new window
6.胡文郁、邱泰源、呂碧鴻、陳慶餘、謝長堯、陳月枝(20010300)。醫護人員對「安寧緩和醫療條例」之教育需求。醫學教育,5(1),21-32。new window  延伸查詢new window
7.Yeawarth, Rosalle C.、Knapp, F. T.、Winget, C.(1974)。Attitudes of nursing students toward the dying patient。Nursing Research,23(1),20-24。  new window
8.杜異珍(19970300)。臺灣中部地區護理人員對照顧瀕死病患之知識、態度及其影響因素之探討。榮總護理,14(1),1-10。new window  延伸查詢new window
9.王桂芸、馬桐齡(19890700)。護理人員對瀕死病人態度之探討。護理雜誌,36(3),77-88。new window  延伸查詢new window
10.Golub, Sharon、Reznikoff, Marvin(1971)。Attitudes toward death: A comparison of nursing students and graduate nurses。Nursing Research,20(6),503-508。  new window
研究報告
1.趙可式(1996)。安寧療護照護品質及哀傷輔導需求研究 (計畫編號:DOH85-HP-5H02)。台北:天主教耕莘醫院。  延伸查詢new window
學位論文
1.鄭美莉(2003)。台灣地區安寧病房護理人員宗教信仰與死亡因應之關聯初探(碩士論文)。南華大學。  延伸查詢new window
2.馮雅芳(2003)。加護病房醫護人員對疾病末期病人醫療決策行為意向及其影響因素之研究(碩士論文)。國立臺灣大學,臺北市。  延伸查詢new window
3.盧璧珍(2003)。安寧療護理念融入非安寧病房癌末病患照顧之探討:以台北某醫學中心胸腔科醫護人員為例(碩士論文)。南華大學。  延伸查詢new window
4.王萱萁(2003)。靈性照顧認知與經驗之探討--以中部某醫院安寧病房護士為例(碩士論文)。南華大學。  延伸查詢new window
5.黃鳳英(1994)。癌症末期病人安寧照護之需求推估(碩士論文)。國立中正大學,台北。  延伸查詢new window
圖書
1.許禮安(1998)。心蓮心語。花蓮:慈濟文化志業。  延伸查詢new window
2.World Health Organization(1995)。National cancer control programes: Policies and managerial guidelines。Geneva:World Health Organization。  new window
3.行政院衛生署(1998)。中華民國公共衛生概況。台北:行政院衛生署。  延伸查詢new window
其他
1.行政院衛生署(20040218)。台灣地區縣市死亡統計結果,http://www.doh.gov.tw/statistic/index.htm。  延伸查詢new window
 
 
 
 
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