頁籤選單縮合
題名 | 護理人員對病患死亡的衝擊及其影響因素之探討=Study on Risk Factors Related to Impact from Patient Death on Nurses |
---|---|
作者 | 施素真; | 書刊名 | 榮總護理 |
卷期 | 16:4 1999.12[民88.12] |
頁次 | 頁381-392 |
分類號 | 419.7 |
關鍵詞 | 護理人員; 病患死亡; Impact; Patient death; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的在了解護理人員面對病患死亡造成的衝擊現況,探討護理人員的特質、 工作特性、死亡態度與對「病患死亡」衝擊問的影響因素。以中部地區某一級教學營院之303 位護理人員為研究樣本,以結構式問卷調查。研究工具包括死亡態度量表、病患死亡衝擊量 表,結果顯示:對病患死亡的衝擊,總平均分數為94.96分[總分為155分];衝擊各層面以 「哀傷反應」最大,其次為「怕面對和死亡相關之護理工作」,再次為「對日常生活之影響」, 最小為「對談理專業之影饗」。死亡衝擊的大小與樣本特質中護理人員年齡、目前單位服務 年資呈負相關,而哀傷反應與目前單位服務年資、護理專業之影響與護理專業總年資皆呈負 相關,未曾照顧臨終病患之護理人員專業影響衝擊顯著高於有經驗者,經驗病患死亡個案數 不同其對談理專業影響衝擊亦有顯著差。死亡態度中害怕死亡及瀕死、趨向導向死亡態度、 逃避等向死亡態度皆與病患死亡衝擊之大小成正相關。此外樣本中有212人(81.5%)近一 年都曾經驗病患死亡,其中139人(65.6﹪)認為病患死亡事件對其有影響,而73人(34.4%) 認為無影響。 響。 |
英文摘要 | The study aims to investigate the impact of patient death on their caring nurses, and to determine such risk factors associated with nurses' response to patient death as personal characteristics, work experience and attitudes to death, etc. 303 nurses of a medical center in central Taiwan were recruited as interviewees for a semi-structured questionnaire inclusive of Death Attitude Profile (DAP), response scale to patient death and basic characteristics. The average impact score from patient death was 94.96 (with a sum score of 155); the most affected was grief response, the ranked second was to be afraid of providing death-related nursing, the ranked third was the effect on daily living, the least affected was to nursing profession. The impact of patient death was negatively associated with age and working years in the present position, as grief response with working years in the present position, effect on nursing profession and cumulative years in nursing service. Those who have never cared for dying patients were significantly much more impacted in terms of effect on nursing profession than those who have. Those who experienced different number of patient deaths were significantly different in their perceived impact on nursing profession. Death attitudes, either fear of death and dying, approaching oriented death acceptance, or escape oriented death acceptance, were proportional to impact from patient death. In addition, out of the subjects, 212 (70.0%)had experienced patient death in the past year. Among those with such an experience, 139 (65.6%) recognized the effect of patient death, while 73 (34.4%) denied it. The present study would be helpful to nurses' adaptation to impact from patient death. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。