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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 胡文郁 | |
dc.contributor.author | Hui-Mei Lin | en |
dc.contributor.author | 林慧美 | zh_TW |
dc.date.accessioned | 2021-06-15T02:51:23Z | - |
dc.date.available | 2009-09-15 | |
dc.date.copyright | 2009-09-15 | |
dc.date.issued | 2009 | |
dc.date.submitted | 2009-08-05 | |
dc.identifier.citation | 中文部分
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H., & Truog, R. D. (2003). Do-not-resuscitate order after 25 years. Critical Care Medical, 31(5), 1543-1550. Casarett, D. J., & Quill, T. E. (2007). 'I'm Not Ready for Hospice':Strategies for Timely and Effective Hopspice Discussions. Annals of Internal Medicine, 146(6), 443-449. Douglas, R., & Brown, H. N. (2002). Patients' attitudes toward advance directives.Journal of nursing scholarship, 34(1), 61-65. Frank, C., K.Heyland, D., Chen, B., Farquhar, D., Myers, K., & lwaasa, K. (2003).Determining resuscitation preference of elderly inpatients:review of the literature. Canadian Medical Association Journal, 169(8), 795-799. Gallagher, R. (2006). An approach to advance care planning in the office. Can Fam Physician, 52, 459-464. Gloria Duke, Suc Thompson, & Hastic, M. (2007). Factors influebcing completion of advanced directives in hosptitalized patients. International Journal of Palliative Nursing, 13(1), 39-43. Goldblatt, D. (2001). 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The influence of default options on the expression of end-of-life treatment preferences in advance directives. Journal of general internal medicine, 22(7), 1007-1010. Llovera, I., Ward, M. F., Ryan, J. G., Lesser, M., Sama, A. E., Crough, D., et al. (1999).Why don't emergency department patients have advance directives? Academic emergency medicine, 6(10), 1054-1060. Matzo, M., & Hijjazi, K.(2008).Older Oklahomans' knowledge, attitudes, and behaviors related to advance directives. Journal of gerontological nursing,34, 21-26. Maxfield, C. L., Pohl, J. M., & Colling, K. (2003). Advance directives: a guide for patient discussions. The Nurse practitioner , 28(5), 38-47. McAdam, J. L., Stotts, N. A., Padilla, G., & Puntillo, K. (2005). Attitudes of critically ill Filipino patients and their families toward advance directives. American journal of critical care, 14(1), 17-25. Miyata, H., Shiraishi, H., & Kai, I. (2006). Survey of the general public's attitudes toward advance directives in Japan: how to respect patients' preferences. BMC Medical ethics, 7, E11. Nolan, M. T., & Bruder, M. (1997). Patients' attitudes toward advance directives and end-of-life treatment decisions. Nursing outlook, 45(5), 204-208. Payne, S., Coyne , P., & Smith, T. (2002). The health economics of palliative care. including commentary by Agrawal M, Emanuel EJ, Seddon R, and Wallner K. Oncology, 16(6), 801-808, 811-802, 841-802. Ramsaroop, S. D., Reid, M. C., & Adelman, R. D. (2007). Completing an Advance Directive in the Primary Care Setting: What Do We Need for Success? . Journal of the American Geriatrics Society, 55(2), 277-283. Sahm, S., Will, R., & Hommel, G. (2005). Attitudes towards and barriers to writing advance directives amongst cancer patients, healthy controls, and medical staff. Journal Medical ethics, 31(8), 437-440. Schlenk, J. S. (1997). Advance directives: role of nurse practitioners. Journal of the American Academy of Nurse Practitioners, 9(7), 317-321. Taylor, D. M., & Cameron, P. A. (2002). Advance care planning in Australia: overdue for improvement .Internal Medicine Journal, 32(9-10), 475-480. Teno, J. M., Gruneir, A., Schwartz, Z., Nanda, A., & Wetle, T. (2007). Association Between Advance Direcyives and Quality of End-of-Life Care:A National study. The American Geriatrics Socirty, 55, 189-194. Tilden, V. P. (1999). Ethics perspectives on end-of-life care. Nursing Outlook, 47(4),162-167. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/44329 | - |
dc.description.abstract | 本研究目的在探討住院病人對醫療預立指示知識、態度與行為意向及其相關因素,採橫斷式相關性研究,以自擬結構式問卷為調查工具。自2008年12月至2009年4月,於台北某聯合醫院之五家區域等級院區之內外科病房之成年住院病人,有效樣本數為206人。
研究結果發現:1.本研究之住院病人在醫療預立指示知識方面總體得分偏低,較瞭解的部分為相關安寧緩和醫條例的定義與理念,而在相關醫療預立指示的法律條文規定顯得較不清楚。2.對於醫療預立指示態度傾向正向3.醫療預立指示行為意向方面,住院病人可能會簽署「預立選擇安寧緩和醫療意願書」排序第一;簽署醫療預立指示行為意向重要預測因子為「安寧緩和醫療態度」與「醫療預立指示態度」當前兩者態度愈正向,其醫療預立指示行為意向動機愈強。4.71.6%住院病人希望醫療預立指示在台灣推廣,並認為住院期間醫護人員能透主動說明、或透過宣導短片或是單張文宣,都在醫院推行醫療預立指示很好的方式。 結論:醫療預立指示觀念需要透過若透過有效的宣導方式,增加住院病人對於醫療預立指示的認識,影響對醫療預立指示態度,進而提升住院病人的意向與意願。 | zh_TW |
dc.description.abstract | This study was conducted using a crossing-sectional research mothod.The purpose of this study was to discuss the knowledge, attitude and behavior intention of inpatients toward advance directives.The data was collected from designed structural questionnaire. From December 2008 to April 2009, 206 adult inpatients from the medical-surgical wards in five medical regional branch of united hospital in Taipei were included in the study.
The results were as follows: (1)The inpatients scored low on knowledge of advance directives. Inpatients tended to know more about definition and concepts of palliative care but didn’t know clearly about the laws and regulations regarding advance directives. (2)Inpatients tended to have positive attitude towards advance directives. (3)Among the results of inpatients’ behavior intention to advance directives, the possibility of “signing consents to palliative care” ranked first; the two important predict factors for inpatients to sign “consents to advance directives” were “attitudes towards palliative care” and “attitudes towards advance directives”. If the two factors are more positive, the motivation for behavior intention of advance directives will be stronger. (4)71.6% of the inpatients are willing to see advance directives policy to be implemented in hospitals throughout Taiwan, and they agreed that information and notice voluntarily provided by medical professionals during in-hospital period as well as properly designed video or pamphlets are all good ways for the implementation of advance directives. The conclusion of this study was: the implementation of the advance directives policy requires more effective penetrations and educations to inpatients. The patient’s increasing knowledge and understanding of advance directives will positively influence their attitudes and consequently promote their behavior intention to give advance directives. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T02:51:23Z (GMT). No. of bitstreams: 1 ntu-98-R94426003-1.pdf: 1353185 bytes, checksum: 56041201449bba6846a6764ba230fe4f (MD5) Previous issue date: 2009 | en |
dc.description.tableofcontents | 論文口試委員審定書………………………………i
誌謝…………………………………………………ii 中文摘要…………………………………………iii 英文摘要……………………………………………iv 目錄…………………………………………………v 圖表目錄……………………………………………vii 附錄…………………………………………………viii 第 壹 章 緒 論 第一節 研究背景與重要性………………………1 第二節 研究目的…………………………………3 第三節 名詞解釋…………………………………4 第 貳 章 文獻查證 第一節 醫療預立指示發展背景………………………………5 第二節 醫療預立指示的定義與內容……………………………7 第三節 醫療預立指示利益與推行障礙……………………8 第四節 台灣安寧緩和醫療條例的內容與推展現況…………11 第五節 簽署醫療預立指示影響因素…………………………13 第 参 章 研究方法 第一節 研究設計……………………………………………16 第二節 研究架構………………………………………………17 第三節 研究對象………………………………………………18 第四節 研究工具………………………………………………18 第五節 研究工具之信效度……………………………………22 第六節 資料收集過程…………………………………………23 第七節 資料分析方法…………………………………………24 第八節 研究倫理考量……………………………………………25 第 肆 章 研究結果 第一節 安寧緩和醫療及醫療預立指示知識、態度與行為意向之現況分析…26 第二節 安寧緩和醫療及醫療預立指示知識、態度與行為意向相關性……32 第三節 簽署醫療預立指示行為意向及意願之中要預測因子…37 第 伍 章 討論 第一節 台灣落實醫療預立指示的現況……………………43 第二節 醫療預立指示行為意向與意願..…………………44 第三節 醫療預立指示意向與意願預測因子………………45 第四節 醫療預立指示宣導………………………………46 第 陸 章 結論與建議 第一節 結論………………………………………………48 第二節 護理應用之建議…………………………………50 第三節 研究限制與未來研究之建議……………………51 參考文獻 中文部分………………………………………………………52 英文部分………………………………………………………53 | |
dc.language.iso | zh-TW | |
dc.title | 住院病人對醫療預立指示知識、態度與行為意向之研究 | zh_TW |
dc.title | A Study on the Knowledge, Attitude and Behavior Intention of Inpatients toward Advance Directives | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 邱泰源,楊秀儀 | |
dc.subject.keyword | 醫療預立指示,住院病人,不施行心肺復甦術,安寧緩和醫療,行為意向, | zh_TW |
dc.subject.keyword | Advance directives,inpatient,DNR,Palliative care,behavior intention, | en |
dc.relation.page | 114 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2009-08-05 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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