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題 名 | 胸腔內科護理人員對肺結核病患的照顧意願及其影響因素之探討=The Willingness of Nurses to Care for Patients with Pulmonary Tuberculosis: A Survey of Nurses Working in Chest Medicine Units |
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作 者 | 羅筱芬; 邱艷芬; 李茹萍; | 書刊名 | 慈濟醫學 |
卷 期 | 11:1 1999.03[民88.03] |
頁 次 | 頁61-68 |
分類號 | 419.73 |
關鍵詞 | 肺結核; 照顧意願; 個人經歷; 疾病認知; 護理倫理認知; 工作情境; Pulmonary tuberculosis; Willingness; Personal experience; Cognition of disease; Nursing ethics; Working environment; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究的主要目的在探討護理人員對肺結核病患之照顧意願及其影響因素。 收案 期間自民國 85 年 10 月至 12 月,以全省(包括北、高兩市)八十二至八十四年度經行政 院衛生署評鑑為區域綜合醫院之胸腔內科護理人員為研究對象,利用問卷做個別填表調查。 問卷內容主要分為:基本資料、照顧意願、個人經歷、疾病認知、護理論理認知及工作情境 等六部份,共計發出 314 份問卷,回收 297 份,有效問卷 244 份。 受訪之護理人員多為年輕、未婚,多數有實際照顧肺結核病患的經驗,但未接受過與肺結核 相關訓練。年齡、任職原因、個人經歷及工作情境與照顧意願有相關性存在,其中年齡、個 人經歷及工作情境對照顧意願的解釋力為 23 %( R �� =0.23 ),照顧意願會隨著年齡的 增加而降低;任職原因、個人經歷及工作情境與照顧意願間則有正向相關,但在個人經歷方 面,多數受訪者對肺結核病患的印象較偏負向,導致照顧意願偏低;而護理人員對福利、保 障及保護設備的要求與單位所能提供的愈相近者,則照顧病患之意願愈正向。其他如教育程 度、宗教、婚姻、照顧經驗、相關訓練、疾病認知、護理倫理認知與照顧意願間均未達統計 上有意義之差異或相關。 |
英文摘要 | The purpose of this descriptive study was to investigate the willingness of nurses to care for patients with pulmonary TB and factors that influence their willingness. Subjects were recruited from nurses who worked in chest medicine (CM) wards in 10 regional hospitals in Taiwan from October to December of 1996. A structured qestionnaire was sent to each subject, asking them to give the following information: demographic data, perceived influence of relatives, knowledge about pulmonary TB, attitude towards patients with communicable diseases, expectations about work conditions, acknowledgment of the patients' rights, and their willingness to care for patients with pulmonary TB. A total of 244 (74.7%) questionnaires were returned. The major statistical procedures applied to process the data were: frequencies, chi-square, t-test, ANOVA, and multiple regression. The majority of the subjects were young (mean age 24.2), unmarried (84%), with junior college education (84.4%), had experience in taking care of patients with pulmonary TB (81.66%), and had never received any training to care for pulmonary TB patients (76.6%) by the hospital. The results indicated that nurses' willingness to take care of these patients was poor. However, if better protection was provided, they would be more willing to take care of TB patients. The statistical results showed that perceived influence from relatives, age, knowledge about pulmonary TB, expectations about work conditions, acknowledgment of patients' right and reasons for working in CM ward were significantly associated with and predictive of their willingness to care for pulmonary TB patients (p<0.05). These variables explained 33% of the variance of willingness. Among them, perceived influence from relatives contributed 17.7% and was the highest variable. It was concluded that perceived influence from relatives, knowledge about pulmonary TB, and acknowledgment of patients' rights were personal variables affecting a nurse's willingness to care for pulmonary TB patients. However, such willingness might be promoted by providing more protective working conditions. These findings provided a good reference for nursing administrators in assigning nurses to work in a CM ward. It also suggested interventions to encourage nurses to care for patients with pulmonary TB, and to design in-service education. |
本系統中英文摘要資訊取自各篇刊載內容。