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題名 | Factors Associated with Attitude and Knowledge toward Hospice Palliative Care among Medical Caregivers= |
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作者 | Lee, Shih-yi; Chen, Chih-hao; Huang, Gwo Che; Ku, Hui-chun; Shih, Shou-chuan; Wu, Chien-liang; Hung, Chung-lieh; Sun, Fang-ju; Hsu, Ching-ping; Ho, Yueh-hsiu; Tai, Julie Hua-ying; Lai, Yuen-liang; Chang, Wen-han; |
期刊 | International Journal of Gerontology |
出版日期 | 20150600 |
卷期 | 9:2 2015.06[民104.06] |
頁次 | 頁98-102 |
分類號 | 419.77 |
語文 | eng |
關鍵詞 | Education; End-of-life care; Law; |
英文摘要 | Background: The present study aimed to explore the attitude and knowledge toward hospice palliative care among medical caregivers in Taiwan. Methods: A cross-sectional questionnaire survey was conducted among medical staff attending a hospice palliative care conference. Results: Overall, 163 of 232 questionnaires were valid. Based on the results, 54.9% of opinions on who has the right to sign a Hospice Palliative Care Declaration for an autonomous patient was consistent with the Taiwan Hospice Palliative Care Article; 91.4% of opinions on whether a life-sustaining therapy has been authorized to withhold was consistent with the article, compared with only 28.3% of opinions on whether a life-sustaining therapy has been authorized to withdraw. The capability of medical staff to provide these three procedures was varied (Cochran's Q ? 121.150, p < 0.001). The medical staff who were aged > 32.5 years (odds ratio ? 0.41; 95% confidence interval, 0.22e0.90; p < 0.01), and whose work experience was >9 years (odds ratio ? 0.52; 95% confidence interval, 0.27e0.97; p < 0.05) tended to approach patients' informed consent of Hospice Palliative Care Declaration precisely. Conclusion: Life and work experience improve the accuracy of medical staff in providing hospice palliative care. A culture-based, case-oriented continuing education program and a timely revision of the Hospice Palliative Care Article are recommended to increase the consistency between the principle and the practice of hospice palliative care. |
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