生死學對護理學院畢業生的死亡處理態度與臨終照護行為之效果探討

本研究旨在探討接受生死學教學之護理學系畢業生面對臨終病人的照護行為與其死亡處理態度，並與沒有接受生死學教學而服務於相同單位的同事是否有差異。以曾接受生死學教學的護學系畢業學生畢業半年內，曾照護過臨終病人為研究對象有72位，另外72位和其在相同醫院同單位工作的護理人員為對照組，樣本數共有144位。Bugen死亡處理量表及自編的臨終照護量表為研究工具。研究結果顯示，接受生死學教學的護理人員有顯著較高的死亡處理態度，但是面對臨終病人的積極照護行為上，則和沒有接受生死學教學的護理人員沒有顯著差別，本研究只呈現生死學教學的效果能夠有限度的增加護理學生畢業後在工作上面對臨終病人時的照護行為。

The study analyzes differences in attitudes toward death competence and quality of care for dying patients between nursing graduates who have and have not attended death education training seminars. The 144 research subjects consisted of 72 nursing college graduates who had worked with terminally ill patients within six months of graduation and 72 of their colleagues from the same workplaces. Two measurement tools were employed: a revised version of Bugen's death competence scale and a terminal care scale created by the author. Results show that: 1) nursing professionals with death education training scored higher on the death competence scale, and 2) no obvious difference was found in quality of terminal care between nursing professionals who have or have not participated in death education training. The author therefore suggests that death education can only play a positive role in preparing students for work with terminally ill patients as well as improving the death competence skills they must use following graduation.