護理人員對非癌生命末期患者靈性照護態度與行為之探討

Exploration of Nurses' Attitudes and Behaviors about Spiritual Care to Non-cancer Terminal Patients

10.6540/NTJN.202203_24(1).0004

褚淑芸(Shu-Yun Chu)；林玉惠(Yu-Huei Lin)；黃采薇(Tsai-Wei Huang)；鄭綺(Chii Jeng)

靈性照護 ； 非癌生命末期患者 ； 護理人員態度 ； 護理人員行為 ； spirituality care ； non-cancer ； terminal patients ； nurses' attitudes ； nurses' behaviors

新臺北護理期刊

24卷1期（2022 / 03 / 01）

42 - 58

繁體中文

背景：過去靈性照護相關研究大多以癌症患者為主，隨著安寧療護也重視非癌慢性病末期患者，其國內護理人員對非癌生命末期患者靈性照護態度與行為的相關研究十分缺乏。目的：探討護理人員對非癌生命末期患者靈性照護的態度與行為、影響因素及預測因子。方法：本研究為橫斷式研究，採立意取樣，使用結構式問卷「護理人員人口學資料表」、「靈性照護態度量表」及「靈性照護行為量表」進行資料收集，符合收案條件共183位護理人員。結果：護理人員靈性照護態度整體總得分平均61.86±7.71分；靈性照護行為整體總得分平均56.33±9.14分。影響護理人員靈性照護態度的因素有年齡，婚姻，目前職稱，宗教信仰和病房類型；影響靈性照護行為的因素有年齡，婚姻，目前職稱及是否接受靈性護理繼續教育。「宗教信仰」、「目前職稱」是護理人員對非癌生命末期患者靈性照護態度的預測因子，解釋力6.7%。「靈性照護態度」、「目前職稱」是護理人員對非癌生命末期患者靈性照護行為的預測因子，解釋力32.3%。結論：建議護理主管強化人員靈性照護積極態度，以提升靈性照護行為，達到靈性照護優質目標。

Background: Spirituality care is often highly salient to those living with non-cancer terminal patients. There has been little study of clinical nurse's attitudes and behaviors about spiritual care to non-cancer terminal patients in Taiwan. Aim: The purpose of this study was to explore the influencing factors and predictors of nurse's spiritual care attitudes and behaviors toward non-cancer terminal patients. Methods: This study adopted a cross-sectional study using purposive sampling. A total of 183 nurses who had worked for a year and taken care of non-cancer terminal patients were recruited from a medical center of northern Taiwan. Data was collected using a structured questionnaire consisting of a demographic datasheet, a spiritual care attitudes scale, and a spiritual care behavior scale. The independent t-test, one-way ANOVA, Pearson's correlation, and multiple regression were applied to analyze subjects' responses. Results: The mean score of nurses' attitudes and behaviors toward spiritual care was 61.86±7.71 and 56.33±9.14, respectively. The influencing factors of nurses' attitudes were age, marital status, current nursing position, religious belief, and type of hospital ward. The influencing factors of nurses' behaviors were age, marital status, current nursing position, and if received spiritual care continue education. ＂Religion＂ and ＂Current nursing position＂ are the significant predictors of nurse's attitudes about spiritual care in non-cancer terminal patients, with explanatory power of 6.7% (p=0.02). ＂Attitude to spiritual care＂ and ＂Current nursing position＂ are the significant predictors of nurse's behaviors about spiritual care in non-cancer terminal patients, with explanatory power of 32.3% (p＜0.0001). Implications for Practice: These findings suggest that nursing supervisors can stimulate the attitudes of nurses to implement spiritual care in nursing practices, and enhance the quality of spiritual care.

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