居家照顧服務員照顧老年多重慢性病症之自我效能

研究背景：台灣於2025年正式邁入超高齡社會，居家照顧服務員在社區照護體系中扮演不可或缺的角色，面對高齡者多重慢性病所帶來的照護挑戰，其對疾病的認知程度與自我效能，不僅影響照護品質，更直接關係到個案的安全。研究目的：本研究旨在探討居家照顧服務員對老年多重慢性疾病照護知識、自我照顧效能及其相關影響因素，並分析自我效能的預測能力。研究方法：採橫斷式相關性設計，針對中台灣147位居服員進行結構式問卷調查，資料分析採用描述性統計、獨立樣本t檢定、單因子變異數分析（ANOVA）、皮爾森積差相關分析及多元迴歸分析。研究結果：（1）居家照顧服務員整體疾病知識偏低，尤其用藥知識方面（2）多重慢性病症知識、工作壓力感受與自我效能之間無相關（3）照顧工作成就、生活平衡、經濟狀況（年收入）、居服年資與自我效能相關。結論：建議強化實際臨床演練經驗與引導主動參與學習歷程，導入訓練品質管理制度及照護品質監測工具，以促進居服員知識內化與效能程度，提升照護品質與專業能力。

Purpose: As Taiwan becomes a super-aged society, caring for chronically ill older adults grows more complex. This study examines home care workers’ knowledge and self-efficacy to guide future training development.Methods: A cross-sectional survey of 147 home care workers in central Taiwan was conducted using questionnaires covering five domains. Data were analyzed via descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression.Results: (1) Home care workers lacked disease knowledge, with medication safety scoring lowest. (2) No significant correlation between multimorbidity knowledge, perceived work stress, and self-efficacy. (3) Caregiving achievement, work-life balance, economic status (annual income), and years of service were significantly associated with self-efficacy.Conclusion: Enhancing clinical training and promoting active learning, alongside implementing quality management and monitoring tools, can support knowledge internalization and self-efficacy among home care workers, thereby improving care quality and professional competence.