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研究生:蔡秀鳳
研究生(外文):Hsui-Feng Tsai
論文名稱:臺灣地區公共衛生護理人員對老人受虐之知識、態度與處理能力之研究
論文名稱(外文):Knowledge, Attitude, and Ability of Elder abuse among Public Health Nurses in Taiwanr
指導教授:于漱于漱引用關係
指導教授(外文):Shu Yu
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:社區護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:77
中文關鍵詞:公共衛生護理人員老人受虐
外文關鍵詞:Public health nurseselder abuse
相關次數:
  • 被引用被引用:14
  • 點閱點閱:459
  • 評分評分:
  • 下載下載:141
  • 收藏至我的研究室書目清單書目收藏:6
摘 要
老人受虐是一個全球性的問題,世界衛生組織2002年亦提出老人受虐不只是社會問題也是重要的健康議題,老人受虐問題需跨專業團隊整合來解決,而健康專業人員所扮演的角色更為重。本研究目的在探討臺灣地區公共衛生護理人員對老人受虐擁有的知識、抱持的態度與處理能力之相關影響因素。本研究採橫斷式研究設計,採取二階段隨機抽樣方式,針對400位公共衛生護理人員進行郵寄問卷做資料收集,共獲得316份有效問卷,結果發現:公共衛生護理人員對老人受虐知識量表平均得分21.62(SD=9.71)(總分介於0-47分),呈現公共衛生護理人員對老人受虐知識普遍有待加強,尤其是高危險群的認知,以及老人受虐相關法律的知識。公共衛生護理人員對老人受虐的態度趨於正向態度(57.75±5.70)。及認同老人受虐是重要問題、老人受虐是健康議題且願意照顧受虐老人;但對公共衛生護理人員有處理老人受虐的角色責任及處理施虐者問題較不認同,且亦會擔心受施虐者的報復。影響因素分析發現:學校教育有上過老人受虐虐課程、老人受虐知識得分愈高、畢業年數較短為此態度的重要預測因子,共可解釋10.3%的總變異量。公共衛生護理人員在處理老人受虐的能力亦有待加強(96.63±25.30,總分介於36-180分)。其中公共衛生護理人員對受虐老人轉介、相關資源提供、身體評估等能力較好,但對於提供受虐老人所需之法律訊息及不具外顯性可觀察性的性虐待、金錢剝削等評估能力較為不足。影響因素分析發現公共衛生護理人員對老人受虐知識得分愈高、老人受虐態度愈正向、有處理老人受虐經驗、參加過老人受虐在職訓練,為公共衛生護理人員老人受虐問題處理能力之主要預測因子,共可解釋31.0%的總變異量。建議未來在護理養成教育課程及護理人員在職訓練課程中將老人受虐議題納入,此外應將老人受虐列入重要的健康政策議題當中,而實務上則建議發展一套完整及敏感性的老人受虐評估量表。
Abstract
Elder abuse is a global issue. According to the report of the World Health Organization in 2002, elder abuse is not only a social problem but also a health issue. Elder abuse needs to be solved by a professional multidisciplinary team group with crossed field expertise. Professional health nurses play a vital role in the team. The purpose of this study is to investigate Taiwan’s public health nurses’ knowledge, attitude, ability toward elder abuse and their relevant influence factors. This cross-sectional study used a two stage random sampling. The data were collected a mailing method from 316 effective responses conducted to 400 public health nurses . The results of this study indicated that the average score of public health nurses’ knowledge toward elder abuse is 21.62 (SD=9.71)( total score ranged from 0-47), which implied that their knowledge should be enhanced, especially the recognition of high risk elders and the laws regard of elder abuse. The public health nurses’ attitude toward elder abuse tended to positive (57.75±5.70). They agree that elder abuse is an important problem as well as a health issue. In addition, they also express that they are willing to take care of the abused elders. However, they don’t quite agree that they should be responsible for dealing with the abused elders and abusers. Meanwhile, they worry about the possible revenge from the abusers. The analysis of the influence factors revealed that three factors affect the attitude, i.e., having taken elder abuse courses, having higher knowledge of elder abuse and the graduation. These three predictable factors can explain 10.3% of the total variables. Public health nurses’ ability in dealing with elder abuse still needs to be strengthened(96.63±25.30,total score ranges from 36 to180). Their abilies in transferring abused elders, providing resources, and assessing physical conditions is fairly good. Nevertheless, their ability in providing relevant law information to abused elders, and evaluating the unobservable sexual abuse as well as deprivation of money is insufficient. The analysis of influence factors finds that the predicting factors of pubic health nurses’ ability in dealing with elder abuse are their higher knowledge of elder abuse, their positive attitude toward elder abuse, their personal experience of dealing with elder abuse, and the in-service training of elder abuse, which can explain 31.0% of the total variables.Based on the results of this study, we suggested that the issue of elder abuse should be incorporated into nurse education and in-service training. Also, elder abuse should also be put in the issue of health policy. A comprehensive and sensitive assessment tool of elder abuse needs to be developed.
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