[[alternative]]Research on the knowledge,attitude and behavior of palliative care professionals in a long-term care facility：A study of advanced dementia care .

[[abstract]]安寧照護對於長期照護專業人員照護晚期失智症者是重要的照護理念，其應有相關的知識、態度與行為。本研究以晚期失智症照護為例，旨在探討長期照護機構專業人員對安寧照護的知識、態度、行為現況及相關因素，從研究結果提出對實務工作和相關政策的改善與建議，以提供未來服務與政策制定參考。本研究是採次級資料之量化研究，以長期照護機構專業人員為研究對象，進行描述性統計、獨立t檢定、皮爾森相關係數及多元迴歸分析，樣本共計442人。 研究結果發現如下：(1)長期照護專業人員之人口學背景、照護經驗、教育訓練對安寧照護的知識、態度、行為三者正相關。安寧照護知識得分愈高者，態度愈積極正向，在行為的執行上也較良好。(2)長期照護專業人員是否有宗教信仰、工作年資、教育程度在安寧照護上有顯著差異性。 整體而言，國內長期照護專業人員對於晚期失智症安寧照護執行比率仍偏低，研究發現長期照護專業人員對於晚期失智症安寧照護知識、態度與行為仍顯不足，建議應透過在職教育與實務訓練強化，提高長期照護機構及專業人員對晚期失智症安寧照護之重視，以提昇晚期失智症者的照護品質。關鍵字：長期照護機構專業人員、安寧照護、晚期失智症[[abstract]]The palliative care is an important concept for long-term health care professionals who are involved in the health care of patients with advanced dementia, and each professionals should possess related knowledge, attitude, and behavior. Using the advanced dementia as a case example, this study is aimed at the investigation of the conditions and correlating factors concerning how the health care professionals working at long-term care institutions are trained with proper knowledge, attitude, and behavior regarding the hospice care. The research results are intended to be used as a reference for advice and improvement on future health care service and practice as well as the formulation of related policy regarding palliative care. This study was based on quantitative analysis of secondary data collected from a sampling of 442 persons who were health care professionals working at domestic long-term care institutions. The collected data were processed for descriptive statistical analysis, including independent sample t-test, Pearson product-moment correlation coefficient (Pearson’s r) analysis, and multiple regression analysis.The results revealed the following facts. Firstly, it was shown that demographic background, working experience in health care, and education/training of the health care practitioners were positively correlated with their scores in knowledge , attitude , and behavior regarding the hospice care. A higher score in knowledge indicated a more positive attitude and a better performance of behavior in the performance of hospice care. Secondly, it was shown that religious faith, duration of health care experience, and level of education were significant differentiating factors that were correlated with the performance of palliative care by the health care professionals.In conclusion, the overall proportion of domestic long-term health care practitioners who perform palliative care for patients with advanced dementia is still very low. From this study, it was found that the majority of the long-term health care professionals still lack adequate knowledge, attitude, and behavior regarding the palliative care of advanced dementia. Therefore, it is suggested that in-service continuing education and practical training should be further emphasized and implemented to allow the long-term care institutions and professionals to pay more attention to hospice care. It is hoped that this study can help improve the quality of health care for patients with advanced dementia. Key word: professionals in a long-term care facility、palliative care、advanced dementia car