[[alternative]]KAP to terminal care among LTCF staff in Taipei

[[abstract]]善終是國人對死亡的期待，但從國內長期照護發展的現況發現，要在長期照護體系善終卻大不易。除了現實大環境充分由醫療主導之外，長期照護體系內部則常受限於機構政策定位、宣示，或是工作人員(護理人員、照顧服務員、社工或行政庶務人員等)對生命末期照護教育之質量，影響者照顧的態度，再進一步落實提供適當生命末期照護及協助善終之服務行為。本研究目的乃針對長期照護機構之工作人員對生命末期安寧療護之知識、態度與行為之探討，採橫斷面之研究設計，以大台北地區護理之家、養護中心、安養中心之工作人員為研究對象，總共發出300份問卷，回收有效問卷為299份，其回收率為99%。問卷回收後資料先經譯碼建檔後，以SPSS/Window20.0中文版套裝軟體進行統計及描述，並以t檢定、單因子變異數分析(one-way ANOVA)，皮爾森積差相關(Pearson’s correlation)進行分析推論呈現。研究結果與預期有所差距，在人口學特性中與安寧療護知識完全不顯著；態度部分則只有性別、機構所在區域、照顧過安寧療護住民的經驗三項顯著；人口學特性中的機構所在區域、及照護過安寧療護生命末期住民的經驗與整體安寧療護行為有相關。另在長期機構工作人員對安寧療護知識、態度與行為之相關性分析中顯示：安寧療護之整體知識與整體安寧療護態度具有顯著的正相關(r=0.561, p<0.01)，即安寧療護知識得分愈高，安寧療護態度愈正向。安寧療護之整體知識與整體安寧療護行為具有顯著的正相關(r=0.476 ,p<0.01)，即安寧療護知識得分愈高，安寧療護行為愈趨明顯。安寧療護之整體態度與整體安寧療護行為達具有顯著的正相關(r=0.756, p<0.01)，安寧療護態度愈正向，安寧療護行為亦愈多。此結果可能與樣本對象分佈不理想，但應仍期待可作為未來長期照護生命末期照護及善終服務之實務、政策及研究等方面強化或提昇之參考依據。[[abstract]]To die well and without too much suffering is our countryman’s expectation towards death. Based on the development of long-term care system／scheme(LTCS), it is not easy at all to die well in LTCS. Currently, health care has been charged by the dominating medical care system whatever. Outside that, in the inner part, the LTCS is often limited by the policy making and declaration, rather, the terminal care quality of the personnel (nurses, care workers, social workers or administrators) and their related attitude and validated related practice／behavior towards the terminal care. The purpose of this study is aimed to explore the related the knowledge, attitude and practice／behavior(KAP) towards hospice by cross-sectional survey to care personnel of LTCS in Taipei area. Totally 300 planned subjectswere issued with 299 valid questionnaires returned(recovery of 99%). Afterfiling the first decoded data to SPSS / Window 20.0 Chinese version of thesoftware package, questionnaires were recovered, summated with statistics via descriptive and inferential approaches, including number, percentage, standard deviation; and t-test, one-way analysis of variance (one-way ANOVA) & Pearson product-moment correlation (Pearson's correlation).The study outcome is not as expected, it is not significant remarkably between socio-demographics and the knowledge of hospice care; as for the related attitude, also insignificant but sparing the gender, geographic area of the facility and the hospice experience, however, only geographic factor and the hospice experience spared for the related practice／behavior. Moreover, the correlation analysis among knowledge, attitudes and practice／behavior(KAP) shows: there is obviously positive correlation (r=0.561, p<0.01) between the knowledge and attitude, implying the higher in the related knowledge about hospice care, the more positive in the related attitude. There is obviously positive correlation (r=0.476, p<0.01) between the knowledge and practice／behavior, implying the higher the knowledge, the more positive in the practice／behavior; there is obviously positive correlation (r=0.756, p