| 研究生: |
薩法拉 Saifullah, Azam David |
|---|---|
| 論文名稱: |
印尼護理人員照顧住院老人的態度與相關因素之研究 Attitude towards Caring for Hospitalized Older People Among Nurses in Indonesia |
| 指導教授: |
陳靜敏
Chen, Ching-Min |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 護理學系 Department of Nursing |
| 論文出版年: | 2016 |
| 畢業學年度: | 104 |
| 語文別: | 英文 |
| 論文頁數: | 72 |
| 中文關鍵詞: | 態度 、照顧 、住院老人 |
| 外文關鍵詞: | attitudes, caring, hospitalized older people |
| 相關次數: | 點閱:96 下載:11 |
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研究背景:目前被社會所公認與個人衰弱、對健康與社會服務需求,特別是對醫療照顧的需求中,最重要的預測因素即在於高齡。高齡者是住院病患最主要族群,護理人員所提供的照護與對病人的關注能改善病患因醫療介入而造成的生、心理與社會功能的壓力。然而護理人員在照護的過程中,可能反映出自身正面或負面對老年病患的照護態度。正面積極的態度能舒緩病人的情緒,並因減少其憂鬱而對治療產生正面效果,除此之外更影響病人的住院時間以及對住院照護的滿意程度。如能瞭解護理人員在照顧住院老人的態度及相關影響因素,將可對發展護理人員照護住院長者的相關議題改善有所幫助。
研究目的:本研究之目的在瞭解印尼護理人員於照顧長者的態度及其相關影響因素。
研究方法:在2016年的2月至3月以橫斷式研究方式,共招募160位於印尼爪哇Kariadi醫院服務之護理人員,利用多因素的態度問卷(Multifactorial Attitude Questionnaire ,MAQ),探究護理人員對照顧高齡者的態度。而後使用描述性統計、皮爾森與斯皮爾曼相關係數、t檢定、變異數分析與多重線性回歸進行資料分析。
研究結果:本研究發現MAQ之問卷總體得分為71.68 ±6.39。該問卷各面向之平均得分,在老齡歧視為13.66 ±2.51、學習環境為14.99 ±2.33、工作環境為13.79 ±1.68、專業自尊為14.53 ±2.01,專家地位為14.69 ±1.79。普遍而言,相比其他國家之調查結果,印尼護理師之得分較高,其影響因子包含病房的類型(F = 8.86, p < .001)、護理人員年齡(r = 0.24, p = .002)、教育程度(F = 3.07, p = .049)、婚姻狀況(F = 7.35, p < .001),護理人員進階等級(F= 11.80, p < 0.001)與年資(r = 0.18, p < .026)。在老年科病房工作、年紀較高、已婚、高教育程度、較高階與年資較高的護理人員,會有較正向積極的工作態度。此外,在探究預測護理人員照顧老年人態度因素的多重回歸分析發現,上述5個變項中僅病房類型與護理人員年齡在統計上達顯著,共可解釋12%的變異量。
結論:本研究探究目前印尼護理人員對照顧高齡老人的態度,以及影響照顧態度的重要因素。本研究建議未來之研究,能繼續使用本研究發展之問卷,並以更廣泛的論點進行探究,期許未來能進一步提供發展態度改善方案相關研究之基礎,盼共創更好的老人照顧。
BACKGROUND: Advanced age has been identified as the most important risk factor associated with frailty and high use of health and social services especially hospital services. Direct care and attention level from nurses shown to be one major type of health care that can improve depressed psychophysiological functioning caused by medical interventions. While delivering care, nurses can express either a positive or negative attitude. A good attitude comforts patients and reduces depression, resulting in a positive effect on their treatment and affecting the patients’ length of stay and satisfaction during hospitalization. Providing an initial description on attitude towards caring for hospitalized older people and its related factors among nurses might be a solution to bring attention to this issue on part of nursing directors in order to improve the healthcare environment for older people.
AIM: The purpose of this research is to identify attitude towards caring for the elderly and its related factors among nurses in Indonesia.
METHOD: A cross-sectional study was conducted from February to March of 2016. A quota sample of 160 nurses was recruited from Kariadi Hospital, Central Java, Indonesia. Attitudes towards caring for older people were assessed by using the Multifactorial Attitude Questionnaire (MAQ). Data analysis included descriptive statistics, the Pearson’s and Spearman correlation, a t-test and ANOVA, and a multiple linear regression.
RESULTS: This study found that the overall MAQ score was 71.68 ±6.39. The mean scores for each dimension of the MAQ were 13.66 ±2.51 in ageism, 14.99 ±2.33 in learning environment, 13.79 ±1.68 in working environment, 14.53 ±2.01 in professional esteem, and 14.69 ±1.79 in specialist status. In general, Indonesian nurses received higher scores compared to nurses in other countries. There were some factors correlated to attitude towards caring for older people: the type of ward (F = 8.86, p < 0.001), age (r = .24, p = .002), education level (F = 3.07, p = .049), marital status (F = 7.35, p < .001), the nurse level (F = 11.80, p < .001), and length of work (r = .18, p = .026). Nurses working in the geriatric ward, older nurses, married nurses, nurses with higher educational levels, and higher nurse level tend to be associated with a more positive attitude. In addition, the correlated factors were significantly explained the attitude towards caring for older people by 12% of the MAQ variance in the multiple regression and two of the five variables that were included (type of ward and age) were statistically significant.
CONCLUSION: This study showed the current nurses’ attitude towards caring for older people in Indonesia as well as the important factors correlated with their attitudes towards caring for older people. This study also suggested conducting further research using the same questionnaire covering broader characteristics of the sample to provide further evidence in developing an attitude improvement program in order to improve the care of older people.
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