| 题名 |
「相癒－汪星人在我們家」安寧病房輔助治療犬服務活動流程改善專案 |
| 并列篇名 |
Improving the Serving Process of Animal-assisted intervention in Hospice ward |
| DOI |
10.6537/TJHPC.202211_26(3).04 |
| 作者 |
陳沂汝(Yi-Ju Chen)；劉曉菁(Hsiao-Ching Liu)；楊婉伶(Wan-Ling Yang) |
| 关键词 |
輔助治療犬 ； 安寧病房 ； 輔助治療 ； adjuvant therapy dog ； hospice ward ； adjuvant therapy |
| 期刊名称 |
安寧療護雜誌 |
| 卷期/出版年月 |
26卷3期（2022 / 11 / 01） |
| 页次 |
251 - 265 |
| 内容语文 |
繁體中文 |
| 中文摘要 |
研究目的：動物輔助治療近十年在臺灣呈現多元發展，本單位首創以導盲犬轉型輔助治療犬運用於末期病人之照護，於2018年1-3月調查發現輔助治療犬服務活動流程完整率僅12%，故成立專案小組，旨在提升安寧病房輔助治療犬服務活動流程的完整性。研究方法：經專家討論及問卷、訪談分析，發現問題包括沒有明確的轉介、執行流程，也無相關資料讓病人了解如何進行互動，不了解輔助治療犬效益及導盲犬的特殊性，也未交班或記錄病人及家屬參與活動的狀況。結果：專案於2018年的05月01日至2019年04月30日執行，制定輔助治療犬服務活動流程及感染控制標準作業規範、宣導教育等，評值60位參與者後發現服務活動流程完整率提升至93%，病人及家屬的回饋包括90%內心感到平安與溫暖、87%釋放壓力感受、83%有生命回顧的契機；80%的醫療團隊成員認為動物輔助治療能提升工作動力且促進團隊合作凝聚力。結論：經專案進行活動流程改善，期望能將動物輔助治療的正向經驗推廣至他院，未來也朝實證研究邁進。 |
| 英文摘要 |
Purpose: In the past ten years, animal assisted therapy has shown diversified development in Taiwan. Our unit is the first to use Guide Dogs as assisted therapy dogs for caring terminally ill patients. This survey found the assisted therapy dog service completion rate was only 12% from January to March 2018. Methods: After analyzing the questionnaire and interview, we found the reasons for low completion rate included: (1) lack of clear referral and execution process;(2) lack of relevant information for patients to understand the benefits of assisted therapy dog service;(3) lack of knowledge with special characteristics of the Guide Dogs and how to interact with them;(4) lack of the shift or recording of the participation of patients or family members in activities. Results: After the survey, we develop an assisted therapy dog service process and infection control standard and operating norms, education and so on. We improved the complete rate of animal assisted therapy to 93%. Regarding to perspectives of Patients and Family, 90% felt peace and warmth in mind, 87% released stress and 83% had a chance to conduct life review; 80% of medical team members believed that animal-assisted therapy can improve work motivation and promote teamwork cohesion. Conclusion: The meaning of animals to humans is more than companionship or support. The therapy animal can heal the patient's physiology and psychology through close interaction with people. We hope to extend the positive experience of animal-assisted therapy to other hospitals, and to provide a basis for designing evidence-based nursing research efforts. |
| 主题分类 |
醫藥衛生 >
預防保健與衛生學 醫藥衛生 > 社會醫學 |
| 参考文献 |
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