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題名：安寧病房醫護人員對病患使用輔助療法的態度
書刊名：安寧療護
作者：林育靖／葉月嬌／賴允亮 引用關係／辜美安
作者(外文)：Lin, Yu-ching／Yeh, Yueh-chiao／Lai, Yuen-liang／Koo, Malcolm
出版日期：2011
卷期：16:1
頁次：頁27-41
主題關鍵詞：輔助及替代醫療；安寧醫護人員；態度；癌症病患；Complementary and alternative medicine；Hospice medical staff；Attitude；Cancer patient
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(1) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:6
  • 點閱點閱:33
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。
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.
期刊論文
1.Eisenberg, M. M.(1998)。Trends in Alternative Medicine Use in the United States 1990-1997。Journal of the American Medical Association，289(8)，1569-1575。  new window
2.倪傳芬(20020900)。運用藝術治療於安寧療護之行動探究。慈濟護理雜誌，1(3)，40-47。  延伸查詢new window
3.許煌汶(20040800)。輔助與另類醫學簡介。安寧療護，9(3)，264-275。new window  延伸查詢new window
4.曾月霞、林岱樺、洪昭安(20050600)。臺中地區社區成人輔助療法使用現況。中山醫學雜誌，16(1)，59-68。  延伸查詢new window
5.Lewis, C. R.、de Vedia, A.、Reuer, B.、Sdiwan, R.、Tourin, C.(2003)。Integrating complementary and alternative medicine (CAM) into standard hospice and palliative care。Am J Hosp Palliat Care，20(3)，221-228。  new window
6.Lee, M. M.、Lin, S. S.、Wrensch, M. R.、Adler, S. R.、Eisenberg, D.(2002)。Alternative therapies used by women with breast cancer in four ethnic populations。J Nation Cancer Institute，92(1)，42-47。  new window
7.辛隆士、邱泰源、胡文郁、程劭儀、陳慶餘(19960900)。癌末病人之另類治療行為。中華民國家庭醫學雜誌，6(3)，127-137。  延伸查詢new window
8.Boon, H. S.、Olatunde, F.、Zick, S. M.(20070330)。Trends in complementary/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 20057，4。  new window
9.Demmer, C.(2004)。A survey of complementary therapy services provided by hospices。J Palliat Med，7(4)，510-516。  new window
10.郭育誠、莫淑蘭、陳慶餘(2001)。癌末病人接受美術療育之前驅性研究。安寧療護雜誌，6(1)，14-24。new window  延伸查詢new window
11.吳明富(2009)。「走出寂默」親子悲傷藝術治療團體。安寧照顧會訊，73（夏季號），10-13。  延伸查詢new window
12.孫懿英、高碧霞、趙詩瑾(2005)。癌症病童家長為其子女尋求另類療法之調查。護理雜誌，52(3)，29-38。  延伸查詢new window
13.Chu, F. Y. ; Wallis, M.(2007)。Taiwanese nurses' attitudes towards and use of complementary and alternative medicine in nursing practice: a cross-sectional survey。Int J Nurs Stud，44(8)，1371-1378。  new window
14.Risberg, T.、Kolstad, A.、Bremnes, Y.(2004)。Knowledge of and attitudes toward complementary and alternative therapies; a national multicentre study of oncology professionals in Norway。Eur J Cancer，40(4)，529-535。  new window
15.Lewith, G. T.、Hyland, M.、Gray, S. F.(2001)。Attitudes to and use of complementary medicine among physicians in the United Kingdom。Complement Ther Med，9(3)，167-172。  new window
16.Schmidt, K.、Jacobs, P. A.、Barton, A.(2002)。Cross-cultural differences in GPs' attitudes towards complementary and alternative medicine: a survey comparing regions of the UK and Germany。Complement Ther Med，10(3)，141-147。  new window
17.Kurtz, M. E.、Nolan, R. B.、Rittinger, W. J.(2003)。Primary care physicians' attitudes and practices regarding complementary and alternative medicine。Am Osteopath Assoc，103(12)，597-602。  new window
18.O'Beirne, M.、Verhoef, M.、Paluck, E.、Herbert, C.(2004)。Complementary therapy use by cancer patients. Physicians' perceptions, attitudes, and ideas。Can Fam Physician，50(6)，882-888。  new window
19.Oztekin, D. S.、Ucuzal, M.、Oztekin, I.、Issever, H.(2007)。Nursing students' willingness to use complementary and alternative therapies for cancer patients: Istanbul survey。Tohoku J Exp Med，211(1)，49-61。  new window
20.陳玉萍、曾振淦、陳美伶、洪志宏、曾雁明、李弘暉(2005)。放射治療之惡性腦瘤患者接受另類療法與食物觀念的調查分析。放射治療與腫瘤學，12(1)，59-65。  延伸查詢new window
21.Ku, C.、Koo, M.(20120300)。Association of distress symptoms and use of complementary medicine among patients with cancer。J Clin Nurs，21(5/6)，736-744。  new window
22.林淑靜(1999)。安寧療護的另類療法。安寧療護雜誌，11，43-49。  延伸查詢new window
23.張根湖(2006)。輔成治療及另類療法於癌症之運用。北市醫學雜誌，3(1)，82-91。  延伸查詢new window
24.邱子易(2007)。芳香療法於安寧緩和療護之應用。安寧療護雜誌，12(3)，332-337。  延伸查詢new window
25.Molassiotis, A.、Sylt, P.、Diggins, H.(2007)。The management of cancer-related fatigue after chemotherapy with acupuncture and acupressure: a randomised controlled trial。Complement Ther Med，15(4)，228-237。  new window
26.Vickers, A. J.、Straus, D. J.、Fearon, B.、Cassileth, B. R.(2004)。Acupuncture for postchemotherapy fatigue: a phase II study。J Clin Oncol，22(9)，1731-1735。  new window
27.Corbin, Winslow L.、Shapiro, H.(2002)。Physicians want education about complementary and alternative medicine to enhance communication with their patients。Arch Intern Med，162(10)，1176-1181。  new window
28.Jump, J.、Yarbrough, L.、Kilpatrick, S.、Cable, T.(1998)。Physicians' attitudes toward complementary and alternative medicine。Integr Med，1(4)，149-153。  new window
研究報告
1.黃嘉玲、林佳靜、廖美南、黃慈心、張文華(2002)。台灣癌症末期病患使用另類療法與症狀困擾相關性之探討（委託研究案，一）。台北市：財團法人中華民國安寧照顧基金會。  延伸查詢new window
其他
1.NCCAM。What Is Complementary and Alternative Medicine?，http://nccam.nih.gov/health/whatiscam/， 2011/08/01。  new window
2.黃玉芬(20110801)。失智、洗腎安寧療護9月納健保，http://mag.udn.com/mag/news/storypage.jsp?f_ART_ID=209851， 2011/08/01。  延伸查詢new window
3.黃建華。神奇抗癌藥？專詐田僑仔，http://www.libertytimes.com.tw/2005/new/mar/13/today-so1.htm， 2011/08/01。  new window
4.台灣安寧照顧協會。台灣安寧照顧協會簡介 2011/08/01。  延伸查詢new window
 
 
 
 
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