台灣中部某醫學中心之護理人員對於安寧緩和醫學之態度研究

Many professionals believe that a terminally ill patient should be cared for in a hospice palliative ward. However, for many it may be better if a terminally ill patient is cared for in an ordinary ward that applies hospice practices. Thus, clinical nurses could use more education with regard to palliative care. This study reports the assessment of nurses' attitude toward hospice palliative care in a medical center in central Taiwan to review the outcome a one continuing education program in hospice palliative care for linical nurses. The results showed 54.3% of Buddhist nurses, 42.9 % of hristian nurses, 37.6 % atheist nurses and 59.1 % of other minor religion nurses were willing to work as terminal care nurses (P < 0.05). Of the nurses who had volunteer experience in hospitals, 79.5% were willing to be volunteers of hospice palliative care, compared to the 51.9 % of nurses who had no such experience (P < 0.05). Of the nurses who had learned about hospice information from different routes other than hospital's continuing educational programs, 90.9 % thought that thanatology, the study of death and dying, should be made compulsory education compared to 68.8% of nurses who had not heard about hospice before (P < 0.05); 44% of nurses who had heard of hospice were willing to serve as hospice palliative care nurses, compared to the 25.5 % of nurses who had not (P < 0.05); and 95.5% of the nurses who had previously heard of hospice believed that formal hospice-training should be offered in medical school compared to 93.3 % of nurses who had not (P < 0.05). Of the nurses who had graduated from universities whose affiliated hospitals had hospice wards, 88.1 % stated that they would tell a terminally ill patient his or her prognosis, compared to 84.8 % of nurses whose university-affiliated hospital did not have a hospice ward and 66.7 % of nurses who did not know whether there was hospice ward in their university-affiliated hospitals or not (P < 0.05). The above results suggest that multi-channel dissemination of information about hospice palliative care might be effective.
在一般病房的末期住院病患，若能接受具安寧療護概念的照顧，將是很好的醫療照護方式。因此臨床護士更需要有關於安寧療護的教育訓練，來加強照顧末期病患的能力。本研究在探討關於現行臨床護士的安寧療護再教育的成果，對中部某一醫學中心的臨床護士進行關於安寧療護態度的探討。結果顯示1. 有54.3 % 的佛教、42.9 % 的基督教徒、37.6 % 無信仰護士以及59.1 %(13/22)的其他少數教信仰者願意從事安寧療護的工作(P < 0.05)。2. 79.5 %有醫院志工經驗的護士願意成為安寧療護志工，這是相較於51.9 %無醫院志工經驗的護士(P < 0.05)。3. 曾經從不同於醫院的繼續教育管道中，獲得安寧療護資訊的護士當中有90.9 % 贊成將死亡學列入正式的教育當中，這是相較於68.8 % 沒獲得其他資訊者(P < 0.05)；有獲得其他安寧資訊的護士44 %將來願意成為安寧護士，相較於25.5 % 沒有獲得其他資訊者(P < 0.05)；有獲得其他安寧資訊的護士的95.5 % 贊成正式將安寧療護的訓練列入醫學教育當中，相較於93.3 % 沒有獲得其他資訊者(P < 0.05)。4. 在具有安寧病房的學校畢業的護士當中，有88.1 %的護士贊成對於末期病患之病情告知，相對於84.8 %畢業於沒有安寧病房的學校以及66.7 % 不知道其畢業學校有無安寧病房之護士(P < 0.05)。由以上結果得知，除了醫院內的繼續在職教育之外，多方位的宣導安寧療護，有助於臨床護理人員對於安寧療護的認識。