外科加護單位護理人員照護瀕死病患之行為及其相關因素

Nursing Care toward Dying Patients in Surgical Intensive Care Unit

本研究目的為探討外科加護單位護理人員照護瀕死病患之行為及其相關因素。研究過程採用自填結構式問 卷收集資料。研究對象為南部某醫學中心外科加護單位之護理人員，採方便取樣方式，總樣本數為120位。研 究資料以平均值、百分比、標準差、t-檢定、單因子變異分析、皮爾森相關分析等方法進行統計分析。研究結果發現護理人員對照護瀕死病患之照護行為以「提供身體照護」最多，其次是「家屬的照護」，最少是「心理、 靈性的照護」。「護理人力」、「自覺照顧瀕死病患重要程度」、「自覺照護瀕死病患能力的自信程度」、「與 同仁分享工作心得」及「護理長支持度」等與對瀕死病患照護行為有相關。此研究結果所得可提供臨床實務、 臨床教育與護理行政之參考。The purpose of this study is to explore nursing care of near-death patients in surgical intensive care units. A total of 120 surgical intensive care unit nurses were recruited from a medical center located in southern Taiwan. A structural questionnaire was used to gather data from these nurses. Statistical analysis by means of descriptive analysis, t-test, one way ANOVA and Pearson’s correlation was performed based on the data obtained. The results have shown that in the nursing care of the near-death patients, most efforts were aimed at providing maximal physical comfort to the patient. Few efforts concentrated on the attentive needs of the family. The psychological and spiritual needs of the patient were among the mostly easily overlooked aspect of the care of near-death patient. Nursing care for the near-death patients were shown to be correlated with nursing manpower, job recognition, self confidence, sharing experience with peers, and full support from the head nurse. We hope the results of this study can be utilized in the future by practitioners, educators, and administrators for the study of near-death patient care.