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題名：護理之家護理人員對安寧療護知識及態度的探討
書刊名：安寧療護
作者：宋宜盉／鐘淑英／吳宏蘭 引用關係／劉紋妙
作者(外文)：Song, Yi-he／Chung, Shu-ying／Wu, Hung-lan／Liu, Wen-miao
出版日期：2016
卷期：21:1
頁次：頁30-45
主題關鍵詞：安寧療護；長期照護；護理之家；Hospice care；Long-term care；Nursing home
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(2) 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:2
  • 共同引用共同引用:59
  • 點閱點閱:13
背景：安寧療護的宗旨是以高人性化的態度照顧生命末期的個案，使其有尊嚴的離世。由於長照機構住民多為高齡或疾病存活期較長的個案，故使用安寧療護的機會也隨之增加。但目前針對照護人員安寧療護知能的相關研究，大部份是以醫院的照護人員為主，而對長照機構照護人員的研究仍較少見。研究目的：本研究探討護理之家護理人員對安寧療護知識與態度的現況及相關性。材料與方法：採橫斷式設計及叢聚隨機取樣，運用結構式問卷調查全國北、中、南三區護理之家護理人員，最後回收有效問卷共232份，回收率為62%。結果：受訪者平均年齡35.2歲，82.5%的人具有正確的安寧療護知識及正向的態度。教育程度、護理之家型態、工作年資在安寧療護知識呈顯著的差異；而教育程度、宗教信仰在安寧療護態度有顯著的差異。整體來說，安寧療護知識和態度呈正相關，即安寧療護知識愈佳，其態度愈正向。結論：本研究結果能提供長照機構主管瞭解護理人員在安寧療護知識及態度之現況，並鼓勵爲護理人員設計安寧療護教育相關訓練課程，進而提升末期疾病住民的照護品質。
Background:The philosophy of hospice is to assist people in their last stage of life experiencing high humanity and dying with dignity. Nursing home residents tend to be more with advanced age and longer disease-related survivors, thus their likelihood of using hospice is high. However, most hospice studies are conducted in hospital health personnel; little is known about the hospice among nursing home nurses. Purpose：This study was to examine nursing home nurses' knowledge and attitudes towards hospice. Methods: This was a cross-sectional study with cluster sampling. Structured questionnaires were used to collect data. A total of 232 nurses in the certified northern, central, and southern districts of nursing home nationwide participated in this study. The response rate was 62%. Results：The mean age for the sample was 35.2 (SD=8.98), ranging from 22 to 62 years. 82.5 % of respondents showed correct knowledge, and the majority displayed positive attitudes about hospice. Education, nursing home type, and working years indicated significant differences in hospice knowledge. Education and religion were significantly different in hospice attitude. Overall, hospice knowledge was positively correlated with attitude. Conclusions：This study may provide nursing home administrators with a better insight about nurses' knowledge and attitudes regarding to hospice. Considering the need of hospice in long-term care settings, providing nurses with educational programs is of importance, in order to improve quality care at the end of life or for chronically sick residents.
期刊論文
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2.王英偉(20100100)。新安寧運動下的倫理思維。澄清醫護管理雜誌，6(1)，4-11。  延伸查詢new window
3.王素真(20070200)。民眾對安寧療護的認知程度及選擇考慮因素之探討。安寧療護，12(1)，44-55。new window  延伸查詢new window
4.藍育慧、趙淑員、陳淑齡、莊照明、郭容美(20070500)。非安寧單位護理人員安寧認知、死亡恐懼與情緒困境之探討。安寧療護，12(2)，156-171。new window  延伸查詢new window
5.Hu, W. Y.、Huang, C. H.、Chiu, T. Y.、Hung, S. H.、Peng, J. K.、Chen, C. Y.(2010)。Factors that influence the participation of healthcare professionals in advance care planning for patients with terminal cancer: a nationwide survey in Taiwan。Social Science & Medicine，70(11)，1701-1704。  new window
6.陳秋媚、周希諴、陳素蘭、鄭向帆、賴思岑、胡文杰、洪維廷、王素鴻、黃智棼、王淑如、楊友華(20030500)。Assessing the Understanding of and Attitude toward Hospice Palliative Care in Taiwan: A Study of Students and Physicians Located on the Same University Hospital Campus in Central Taiwan。中山醫學雜誌，14(2)，231-237。  延伸查詢new window
7.許煌汶、黃麗霞、林淑芬(20080500)。雲林地區護理人員的安寧緩和療護觀點。安寧療護，13(2)，137-155。new window  延伸查詢new window
8.趙可式(20090200)。臺灣安寧療護的發展與前瞻。護理雜誌，56(1)，5-10。new window  延伸查詢new window
9.黃惠美、郭碧照、胡中傑、謝玉玲、黃曉峰(20051100)。臺中某社區民眾之安寧療護知識及其影響因素。安寧療護，10(4)，371-383。new window  延伸查詢new window
10.Cimino, N. M.、Lockman, K.、Grant, M.、McPherson, M. L.(2014)。Knowledge, skills, and attitudes in caring for older adults with advanced illiness among staff members of long-term care and assisted living facilities: an educational needs assessment。AJHPM，1-8。  new window
11.Miller, S. C.、Lima, J.、Gozalo, P. L.、Mor, V.(2010)。The growth of hospice care in U.S. nursing homes。AGS，58(8)，1481-1488。  new window
12.Kaasalainen, S.、Brazil, K.、Ploeg, J.、Martin, S. L.(2007)。Nurses' perceptions around providing palliative care for long-term care residents with dementia。Journal of Palliative Care，23(3)，173-180。  new window
13.Grbich, C.、Maddocks, L.、Parker, D.(2005)。Palliative care in aged care facilities for residents with a non-cancer disease: Results of a survey of aged care facilities in South Australia。Australas J Ageing，24(2)，108-113。  new window
14.Ersek, M.、Wilson, S. A.(2003)。The challenge and opportunities in providing end-of-life care in nursing homes。Journal of Palliative Medicine，6(1)，45-57。  new window
15.Hess, S.、Stiel, S.、Hofmann, S.、Klein, C.、Lindena, G.、Ostgathe, C.(2013)。Trends in specialized palliative care for non-cancer patients in Germany- Data from the National Hospice and Palliative Care Evaluation (HOPE)。EJIM，1-6。  new window
16.張右川、周希諴、陸玓玲、鄭向帆、賴思岑、胡文杰、洪維廷、陳榮基、周明智(20030500)。The Attitude of Medical Students in Taiwan toward Hospice Palliative Care。中山醫學雜誌，14(2)，221-229。  延伸查詢new window
17.Liu, Y. C.、Su, P. Y.、Chen, C. H.、Chiang, H. H.、Wang, K. Y.、Tzeng, W. C.(2011)。Facing death, facing self: nursing students' emotional reactions during an experiential workshop on life-and-death issues。J Clin Nurs，20(5/6)，856-863。  new window
18.謝秋菊、李麗雲、周繡玲、簡淑慧(20121200)。探討推動安寧療護之障礙因子及其應對策略建議。腫瘤護理雜誌，12(2)，51-59。  延伸查詢new window
19.Sato, K.、Inoue, Y.、Umeda, M.(2014)。A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses。Japanese Journal of Clinical Oncology，44(8)，718-728。  new window
20.Abudari, G.、Zahreddine, H.、Hazeim, H.、Assi, M. A.、Emara, S.(2014)。Knowledge of and attitudes towards palliative care among multinational nurses in Saudi Arabia。IJPN，20(9)，435-441。  new window
21.翁芝爾、陳淑賢、廖美南、王正旭(20050300)。非安寧病房護理人員對安寧療護知識及態度之初探。長庚護理，16(1)=49，12-22。new window  延伸查詢new window
22.周希諴、李選、羅旭宜、周裕銓、張梅芳(20060600)。某教學醫院護理人員對安寧療護知識、態度及參與工作意願之探討。中山醫學雜誌，17(1)，23-32。  延伸查詢new window
23.黃秀梨、翁麗雀、張媚(20110200)。失智症者之緩和照護。護理雜誌，58(1)，91-96。new window  延伸查詢new window
24.Ford, R.、Mcinerney, F.(2011)。An evaluation of aged-care workers' knowledge of and attitudes toward the palliative approach。Research in Gerontological Nursing，4(4)，251-259。  new window
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26.Dobbs, D. J.、Hanson, L.、Zimmerman, S.、Williams, C. S.、Munn, J.(2006)。Hospice attitudes among assisted living and nursing home administrators, and the long-term care hospice attitudes scale。Journal of Palliative Medicine，9(6)，1388-400。  new window
27.Cohen, L.、O'Connor, M.、Blackmore, A. M.(2002)。Nurses' attitudes to palliative care in nursing homes in Western Australia。IJPN，8(2)，88-98。  new window
28.Kassa, H.、Murugan, R.、Zewdu, F.、Hailu, M.、Woldeyohannes, D.(2014)。Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia。BMC Palliative Care，13(6)，1-11。  new window
29.Hanson, L. C.、Sengupta, S.、Slubicki, M.(2005)。Access to nursing home hospice: perspectives of nursing home and hospice administratiors。Journal of Palliative Medicine，8(6)，1207-1213。  new window
研究報告
1.內政部統計處。102第11週內政統計通報(101年底我國長期照顧及安養機構概況）。  延伸查詢new window
學位論文
1.魏美珍(2012)。臺北市國小教師的安寧療護認知與態度之調查研究(碩士論文)。國立臺北教育大學，台北市。  延伸查詢new window
2.蕭麗雯(2009)。中彰地區長期照護機構工作人員對安寧療護之知識、態度及行為之探討(碩士論文)。亞洲大學。  延伸查詢new window
圖書
1.楊克平(2008)。安寧與緩和療護學。台北市：華杏。  延伸查詢new window
其他
1.Winzelberg, G. S.，Billings, J. A.，Savarese, D. M.，Hanson, L. G.，Schmader, K. E.。Palliative care: Nursing home，http://www.uptodate.com.ezproxy.vghtc.gov.tw:2048/contents/palliative-care-nursi ng-home?source=search_result&search=palliaitve+care%3A+nursing+chome&sele ctedTitle=1~150.， 2014。  new window
2.衛生福利部統計處。台閩地區護理機構資源分佈，http://www.mohw.gov.tw/cht/DOS/DMl_P.aspx?f_list_no=304&fod_list_no=0&doc_no=837， 2014/09/16。  new window
3.衛生署國民健康局。11年來癌症病人死前一個月內曾接受CPR下降達6成，同時期安寧療護利用率成長達5倍，http://www.doh.gov.tw/CHT2006/DMZDM2_p01.aspx?cIass_no=25&now_fod_list_no=12324&level_no=2&doc_no=86388， 2012/10/05。  延伸查詢new window
4.行政院衛生署。98-100年度一般護理之家評鑑結果，http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_no=211&now_fod_list_no=10622&level_no=l&doc_no=83446， 2012/04/12。  new window
圖書論文
1.宋惠娟(2000)。長期照護服務之型態。長期照護。華格那。  延伸查詢new window
 
 
 
 
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