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    題名: 探討影響護理之家照顧服務員對愛滋個案照顧意願之相關因素
    The related factors of caregivers willingness to care AIDS client in Nursing Home care of facilities
    作者: 莊素蓉;Su-Jung Chuang
    貢獻者: 醫務管理學系碩士在職專班
    關鍵詞: 護理之家;照顧服務員;愛滋病照護意願;Nursing homes;Caregivers;willingness to care AIDS
    日期: 2015-08-25
    上傳時間: 2015-11-04 17:05:31 (UTC+8)
    出版者: 中國醫藥大學
    摘要: 背景:愛滋病是全球關注的重要健康議題之一,台灣自引入雞尾酒療法後,愛滋病的致死率下降,但雞尾酒療法治療,雖能有效控制愛滋病情,卻仍無法完全治癒此一兼具慢性化與傳染性、症狀表現多樣化的特殊疾病,AIDS病人面臨更多與愛滋共存的社會調適和生活議題,面對日漸老化的愛滋病人,其所需要的服務,將是現在及未來健康照護服務的新挑戰。本研究目的將了解護理之家照顧服務員其愛滋病知識、態度與其照顧愛滋個案意願之相關性。
    方法:本研究採便利取樣,以問卷調查台中市60所護理之家照顧服務員其對愛滋病知識、態度與照顧的意願,以描述性統計描述照顧服務員愛滋病知識、態度與照顧愛滋個案意願之分布,以卡方及ANOVA探討照顧服務員之人口學特質與其愛滋病知識與態度及對其照顧愛滋個案意願之差異,並以羅吉斯(Logistic)迴歸統計進行探討影響照顧服務員照顧愛滋個案意願的因子。
    結果:針對35所台中市立案護理之家照顧服務員134份有效問卷調查發現,照顧服務員照護愛滋個案意願為51.6 %,在人口學特質部份:未婚者及無子女之照顧服務員,其照護愛滋住民之意願較高,達統計上之顯著相關(p=0.014;p=0.015),其餘人口學特質方面,皆未達統計之顯著相關。在相關教育訓練部份,在學期間曾接受過愛滋相關教育及工作期間曾接受過愛滋相關在職教育,照護愛滋住民之意願亦較高,皆達統計上之顯著差異(p=0.016;p=0.010);曾照護過愛滋住民或個案之經驗亦達統計之顯著相關(p=0.009)。照顧服務員之愛滋病知識程度與其照護意願,未達統計之顯著差異。在愛滋病態度題項中,照顧服務員認為瞭解傳染途徑及防護措施,就有能力照顧愛滋病達統計顯著差異(p =0.015),另認為健康照護工作人員沒有權利拒絕照護愛滋住民者、對疾病不會感到害怕及願意被指派照護愛滋住民三項亦達統計上之顯著(p =0.032;p = 0.026;p<0.001)。
    結論:藉由探討護理之家之照顧服務員對愛滋病個案照顧意願相關因素,認為對愛滋病態度愈正向,照護意願較高,且若能瞭解傳染途徑及防護措施,更有意願照護愛滋個案。

    Background:AIDS is one of the major global health issues. Since introduction of HAART since 1997 in Taiwan, the AIDS related death rate much decreased from 28.6 percent to 0.71 percent in 2012. However, it is a new challenge for long-term care of patients due to aging AIDS patients. The purpose of this study is to understand nursing home care attendant’s knowledge about AIDS, attitudes and willingness to take care of AIDS patients.

    Purpose: This study adopted convenient sampling to survey nursing home care attendant knowledge to AIDS, and their attitudes and willingness to take care of AIDS patients in Taichung. We used descriptive statistics to analysis their knowledge, attitudes and willingness. Logistic regression was used to determinate the factors which influence the willingness of attendant to take care of AIDS patients.

    Result:134 valid questionnaires survey in 35 nursing homes in Taichung found that willingness of attendant to care AIDS patients is 51.6%. In demographic characteristics parts: the unmarried and childless nurse attendant had higher willingness to care AIDS patients and achieve a statistically significant (p = 0.014; p = 0.015).The remaining terms of demographic characteristics are statistics insignificantly. Attendant who received AIDS education and training during their study period had higher willingness to care AIDS patients and reached statistically significant difference (p = 0.016; p = 0.010).There is no statistically difference between willingness to care AIDS patients and level of AIDS knowledge.

    In questions of attitude on AIDS, the attendants believed they have the ability to take care of AIDS patients if they understand transmission and protective measures of AIDS (p = 0.015). In addition, the health care workers have no right to refuse HIV patients ,not afraid of AIDS, and willing to be assigned to care reached statistical basis as significant (p = 0.032; p = 0.026; p <0.001).

    Conclusion:The current study examined the associated factors about willingness of nursing home care attendant to take care AIDS patients. We found that they had higher willingness to take care AIDS patients if they had more positive attitude for AIDS and can fully understand transmission route of HIV.
    顯示於類別:[醫務管理學系暨碩士班] 博碩士論文

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