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社區民眾對於預立醫療決定行為意向及其相關因素之探討
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社區民眾對於預立醫療決定行為意向及其相關因素之探討
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Journal Article
社區民眾對於預立醫療決定行為意向及其相關因素之探討
2023
Overview
背景：醫療科技進步，不健康存活年數逐年增加。為使病人臨終時家屬面臨末期醫療決策時有所依循，降低無效醫療，提高生活品質與善終，瞭解民眾對於預立醫療決定行為意向及其相關因素，才能有效提高其決策能力。目的：探討社區民眾對於預立醫療決定行為意向與其相關因素。方法：本研究採橫斷性研究設計，針對社區民眾，以紙本與網路問卷方式進行基本屬性、預立醫療決定的經驗、預立醫療決定知識、態度、行為意向、靈性健康、社會支持之資料收集。統計方式以描述性統計與獨立樣本t檢定、單因子變異數分析、皮爾森積差相關分析、多元迴歸分析等推論性統計。結果：共377位社區民眾參與本研究（平均年齡為50.57歲，SD=13.39，58.4%女性），其預立醫療決定行為意向高，假如未來處於永久性植物人狀態時，會拒絕氣管內管插管（4.13分，SD=0.92）、葉克膜（4.09分，SD=0.95）、體外心臟按摩（4.08分，SD=0.95）、心臟電擊（4.08分，SD=0.98）急救措施為較高分項目。預立醫療決定行為意向重要預測因子為性別、有書面表達生命末期醫療決策、會參加病人自主權利法及預立醫療決定的宣導講座、預立醫療決定態度、與社會支持（R^2=40.1%, p＜.001）。結論／實務應用：本研究發現社區民眾的預立醫療決定行為意向及重要影響行為因素，為未來提升民眾預立醫療決定簽署率等相關政策措施重要參考。
Publisher
台灣護理學會,社團法人臺灣護理學會
Subject
