照顧服務員對安寧療護的認知狀況與相關經驗之探討-以基隆市為例

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题名:	照顧服務員對安寧療護的認知狀況與相關經驗之探討-以基隆市為例
其它题名:	The cognition and practice of nursing aides on Palliative care:An example of Keelung City
作者:	官蓓蓓
贡献者:	邱淑芬
关键词:	照顧服務員;安寧療護;認知;相關經驗;Nursing aides;Palliative care;Cognition;Practice
日期:	2019
上传时间:	2020-09-09T05:55:14Z
出版者:	經國管理暨健康學院;健康產業管理研究所
摘要:	本研究旨在探討照顧服務員對安寧療護的認知狀況及瞭解其相關經驗。研究方法採量性分析與質性研究歸納彙整方式進行，以安寧療護認知問卷調查為主，半結構式焦點團體訪談為輔，針對基隆市某家人力派遣公司20-70歲的台灣籍照顧服務員為研究對象。研究者首先以結構式問卷方式調查研究對象對安寧療護認知的差異性，總共發出70份問卷，扣除未收回及填寫不完整者，共回收62份有效問卷，回收率為89％；於結構式問卷施測完成後，以立意取樣方式挑選7位同意接受二場次焦點團體訪談之研究對象，深入瞭解其安寧療護的相關經驗。回收問卷資料先經譯碼建檔後，以描述性統計、獨立樣本t檢定、單因子變異數分析(one-way ANOVA)及薛費氏(Scheffe)事後比較分析進行統計；訪談資料經統整與編碼後，以建構概念、歸納發展主題的方法進行分析；結果歸納如下：一、照顧服務員安寧療護的認知狀況頗佳（各構面得分率皆達80％以上）。二、照顧服務員之教育程度及有無參與過安寧療護相關課程與其安寧療護認知狀況有顯著差異。三、照顧服務員之安寧療護相關經驗及對個人的影響： (一)看見臨終病患受苦的過程，是發自內心去感同身受。 (二)照顧臨終病患皆為增加身體舒適，滿足病患心理、社會及靈性之層面需求為主。 (三)承擔壓力包括：無力感、面對死亡的恐懼、承受臨終病人家屬的情緒壓力及難以協助病人解決的生理症狀。 (四)能在最近的距離看到生命的本質；個人生命的轉化認為：人生無常，要把握當下、學習自我反思及寬恕別人、開始重視自我健康且思考簽屬安寧緩和意願註記。研究結果可提供醫院或長照機構重視安寧療護教育訓練的重要性，並適時的提供員工紓壓及諮商管道，透過生活及工作上的感動，來強化照顧服務員的工作使命感，進而喚起照顧服務的初衷及熱情，以提升臨終病患整體的照顧品質。 The purpose of this study is to explore the cognition and practice of the palliative care from the nursing aides.The research method adopts the quantitative analysis and induces by qualitative analysis.Palliative care questionnaire survey as the main of the investigation and the semi-structure of the focus group discussion as to help in the whole study.The objectives of the study were Taiwanese qualified nursing aides who aged between 20-70 years old in a manpower dispatch company in Keelung city.The researcher investigates by the structure questionnaires for realizing the difference of palliative care cognition at first with a total of 70 questionnaires which were included 62 valid questionnaires.The recovery rate was 89%.After the structure questionnaires were completed the researcher selects 7 candidates by purpose sampling who agreed to accept the focus group interview twice for understanding the practice of palliative care in-depth.Furthermore, the code file was filing from those valid questionnaires then analyzed by descriptive statistic, independent t check, one-way ANOVA and Scheffe method.After the questionnaires were integrated and code filed the content was analyze by construction concept and inductive development method.The results are as follows: 1.The cognition of palliative care in nursing aides are good.(More than 80% of the score rate of each structure.) 2.There is significant different of cognition between the education level and participation in related palliative care course in nursing aides. 3.The practice and personal influences of palliative care in nursing aides: (1)It is from the heart with empathy to empathize that the suffering process of terminal patient. (2)The main points of care terminal patient are increase physical comfort, satisfied with psychological, social and spiritual needs. (3)The pressure includes the sense of powerlessness the fear of death, the emotional stresses of family members and feels the difficulty of helping patient about physical symptoms. (4)To be able to see the essence of life,the conversion of personal life: life is impermanent, so that cherish the moment, to learn self-reflection and forgive others.Starting to consider self-health and think about the willing of Palliative care Will Recording. The results of this study may provide the importance of palliative care training in the hospital or long-term care institution and also provides a channel of de-stress and consultation. Moreover, to strengthen the sense of mission through the feeling from life and work and raise initial motivation and enthusiasm in order to improve the quality of palliative care in nursing aides.
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