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| 題名: | 台灣醫護人員死亡態度與生命意義之相關研究 |
| 其他題名: | A Study of the Relationship of Death Attitudes and Meaning of Life to the Medical care personnel of Taiwan |
| 作者: | 吳文淑
Wu, Wen-shu |
| 貢獻者: | 生死學研究所
何長珠
Chang-chu Ho |
| 關鍵詞: | 安寧中心;醫謢人員;臨終病患;趨近死亡;無宗教信仰者;逃避死亡;民間宗教;精神層面
progressively approach death;evade death;folk religion;non-religionite;hospice center;terminally ill patient;spiritual level;medical personnel |
| 日期: | 2010 |
| 上傳時間: | 2015-03-10 15:13:53 (UTC+8) |
| 摘要: | 本研究旨在探討台灣醫護人員死亡態度與生命意義之現況。採問卷調查法，有效樣本1,457份 (78.5%)，以描述性統計、t 檢定、單因子變異數分析、Scheffe事後比較、皮爾森積差相關與典型相關等方法進行資料分析。 結論如下：一、死亡態度方面：「趨近死亡」最高，依次序為、「逃離接受」、「死亡恐懼」和「死亡逃避」。(一)男性醫師較女性醫護人員的死亡態度趨向於「死亡逃避」。(二)年齡層20至40歲者，其死亡恐懼與死亡逃避高於41至50歲者。(三)不同的宗教信仰在死亡態度中之「趨近接受」層面，基督教高於佛教、民間信仰與沒有宗教信仰。(四) 逃避死亡層面，已婚高於未婚者。(五) 不同資歷醫護人員之死亡恐懼與死亡逃避層面，5至9年以下高於10年以上。(六)「有照顧臨終病患死亡經驗」的醫護人員，死亡恐懼與死亡逃避較低。(七) 不同「最近何時經歷病患死亡經驗」的醫護人員在死亡態度四個分層面，皆達到顯著差異。二、生命意義方面：「靈性層面」最高；依次為「宗教」、「社會」、「倫理」、「生活熱誠層面」、「社會」、「哲學」與「心理」。(一)男性醫師具有較高的生命意義，且顯著高於女性。(二)「在家排行」為獨生子、女之醫護人員，其整體生命意義，顯著高於老大、中間與老么。(三)「無親身經歷親友死亡」之醫護人員具有較高的生命意義。(四)參加生死教育相關課程之醫護人員，具有較高的生命意義。(五)服務於安寧單位的醫護人員，在整體生命意義上，顯著高於洗腎、手術室與護理之家。(六) 醫護人員在「有無照顧臨終病患經驗」上，「死亡態度」未達顯著差異。三、典型相關結果，死亡態度與生命意義存有顯著相關，其分別命名為「正向死亡態度與高生命意義」、「負向死亡態度與高生命意義靈性需求」與「趨向死亡逃避需高社會與心理支持」三組典型因素。 根據上述的研究結果，研究者提出具體建議，以作為推動後續研究者之參考。
This research is aimed at exploring the attitudes of Taiwan's medical personnel toward death and their sense of the meaning of life which is closely related to the perspectives of life & death. I have conducted this research on the basis of questionnaire survey, involving valid samples 1,475 copies (78.5%). To this study, I have applied descriptive statistics, t-verification, single-factor variables analysis, Scheffe's After-comparison approach, Pearson's relation & Type relation methods to analyze the data and have reached the following conclusions, which are as follows:I. The attitudes of Taiwan's medical personnel toward death Their attitudes can be divided into four categories:(1) progressively approaching / accepting death (taking up the highest percentage) (2) evading the acceptance of death (the second highest) (3) fear of death (the third) (4) evading death (the fourth) This sequence of the percentage order in their attitudes toward death suggests that the medical personnel can, roughly speaking, accept death as a natural course of life. The following are the detailed depictions of this research:1.Male doctors tend to ＂evade death＂ (the fourth category) more than female medical personnel in their attitude toward death. 2.Medical personnel aged from 20 to 40 have a higher percentage in ＂fear of death＂(the third category) than those aged from 41 to 50.3.In ＂progressively approaching / accepting death＂, different religion believers have different attitudes or level of accepting death: Christians are higher than Buddhists and folk religionites or Taoists, as well as non-religionites.4.Married medical personnel have a higher percentage than the unmarried ones in their attitude toward ＂evading death＂.5.The medical personnel with different service seniority have different attitudes toward ＂fear of death＂ and ＂evading death＂; those with 5-year to 9-year seniority have a higher percentage or level than those with 10-year plus seniority.6.The medical personnel with experiences of taking care of the terminally ill patients show a lower percentage or level of ＂fear of death＂ and ＂evading death＂. 7.The time-distance of witnessing the patient's death makes a big difference among the medical personnel in their attitudes toward death in the above four categories. II. The sense of the meaning of life among Taiwan's medical personnel The spiritual level is ranked as the highest; the subsequent level orders are: religion, society, ethics (/ morality), passion for life, philosophy and psychology. The following are the detailed depictions of this research:1.The male doctors feel a higher level of life meaning than females.2.The medical personnel of the only son/daughter in the family feel a higher level of life meaning than the oldest, the middle, or the youngest son / daughter.3.The medical personnel without the experience of witnessing the deaths of their relatives feel a higher level of life meaning than those otherwise.4.The medical personnel who have engaged in the education of life & death courses feel a higher level of life meaning than those otherwise.5.The medical personnel who serve in the hospices feel a remarkably higher level of life meaning than those serving in dialysis centers / units, surgery rooms, as well as nursing homes.6.The medical personnel with or without the experiences of taking care of the terminally ill patients make no big difference in their attitudes toward death. III. Stereotype-relation ResultsThe attitude toward death is closely related to the sense of the meaning of life among Taiwan's medical personnel.The survey is concluded in the following three points:1.medical personnel with a positive attitude toward death feel or have a higher level of life meaning.2.The medical personnel with a negative attitude toward death feel a spiritual need to enhance or heighten their sense of life meaning.3.The medical personnel with a tendency toward the thought of evading death need badly a high support from social workers or the counseling from the psychiatrist or psychologist. In conclusion, according to the above survey and research, I put forth some specific suggestions as reference and assistance for those who will undertake the study related to the similar theme. |
| 顯示於類別: | [生死學系(生死學系碩士班,哲學與生命教育碩士班)] 博碩士論文-生死學系碩士班
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