加護病房醫療團隊對安寧療護知識與態度之探討

Study on the Knowledge and Attitude of Hospice Care Team in the Intensive Care Unit

目的：探討加護病房醫療團隊對安寧療護知識與態度之相關因素。方法：採橫斷式研究設計，以北部某區域醫院之加護病房醫療團隊在醫院執業滿六個月以上之成員為研究對象。透過結構式問卷調查共完成220份有效問卷，包含背景資料、安寧療護知識量表、安寧療護態度量表，以單因子變異數分析、皮爾森相關係數與迴歸進行資料分析。結果：加護病房醫療人員在安寧療護照顧知識平均得分為18.95(SD=1.81)分，答對率為86.14%；安寧療護照顧態度平均得分為60.28(SD=6.71)分。其中加護病房醫療人員在人口屬性、工作屬性、教育經驗的統計量達顯著水準(p<0.05)。運用皮爾森相關分析法進行統計分析，「安寧療護知識量表」及「安寧療護態度量表」的相關分析中，相關係數無顯著相關(r=-0.02，p=0.78)。醫療人員在安寧療護照護知識與態度之預測因子，複迴歸模型F檢定達顯著水準(F=3.2，p<0.001)，t檢定結果顯示，可預測醫療人員在安寧療護照護知識越高，傾向越可提供末期病人緩和醫療照護。結論：加護病房醫療團隊人員對生命末期安寧照護知識越完整，越能提供完整重症末期照護。建議規劃安寧照護研習活動及教育訓練，鼓勵參與安寧療護種子培訓，取得各類安寧證照，增進各職類人員在安寧療護基礎概念及實務學習，並藉由醫療團隊的溝通合作，提升末期病人照護品質，以達病人善終、家屬無憾的目標。

 

Objective: This study aimed to explore the factors related to the knowledge and attitude of the intensive care unit (ICU) medical team towards palliative care. Methods: A cross-sectional study was conducted among members of the ICU medical team who had worked for more than six months in a hospital in northern Taiwan. A total of 220 valid questionnaires were completed through structured questionnaire surveys, including background information, palliative care knowledge scale, palliative care attitude scale, one-way ANOVA, Pearson correlation coefficient and regression analysis. Results: The average score of intensive care unit medical staff in palliative care knowledge was 18.95 (SD=1.81) points, with a correct rate of 86.14%; The average score of intensive care unit medical staff in palliative care attitude was 60.28 (SD=6.71) points. Among them, the statistical quantity of intensive care unit medical staff in demographic attributes, job attributes and education experience reached a significant level (p <0.05). Using Pearson correlation analysis method for statistical analysis, there was no significant correlation between the “palliative care knowledge scale” and “palliative care attitude scale” (r =-0.02, p =0.78). The predictive factors for medical staff’s knowledge and attitude towards palliative care were tested by multiple regression model F test at a significant level (F=3.2, p <0.001). The t-test results showed that higher knowledge of medical staff in palliative care tended to provide end-of-life patients with palliative medical care. Conclusion: The more comprehensive the knowledge of end-of-life palliative care among ICU medical team members, the better the care they can provide for critically ill patients. It is recommended to plan palliative care training and education activities, encourage participation in palliative care seed training, obtain various palliative care certifications, improve the basic concepts and practical learning of palliative care among various healthcare professionals, and through communication and cooperation within the medical team, improve the quality of end-of-life care for patients, and achieve the goal of a peaceful death and no regrets for their families.