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http://nhuir.nhu.edu.tw/handle/987654321/29704
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| 題名: | 影響大學生進行預立醫療照護諮商(ACP)意願之探究－以嘉義縣市大專院校為例 |
| 其他題名: | A Study of the Influence of Undergraduate Students of Universities and Colleges of Chiayi City and County to Sign Advance Care Planning |
| 作者: | 劉子嫣
LIU, TZU-YAN |
| 貢獻者: | 生死學系碩博士班
王枝燦
WANG, CHIH-TSAN |
| 關鍵詞: | 病人自主權利法;預立醫療照護諮商;預立醫療決定;大學生
Patient right to autonomy Act;Advance care planning;Advance decisions;Undergraduate Students |
| 日期: | 2022 |
| 上傳時間: | 2023-11-13 13:22:03 (UTC+8) |
| 摘要: | 本研究的目的在瞭解影響大學生接受預立醫療照護諮商(ACP)的意願之因素(個人背景變項、生命經驗、對病人自主法的認知狀況、進行預立醫療照護諮商需付出的成本)，分析彼此之間的關聯。 本研究採網路問卷調查法，以嘉義縣市內教育部編定之大學院校日間部大學生為研究對象，正式樣本採配額抽樣，依照每間學校總人數的3%作為樣本數。實際蒐集851份問卷，經過整理後有效問卷為813份。以自行編製之問卷，分別為個人基本資料、生命經驗、對病人自主法的認知狀況、願意進行預立醫療照護諮商(ACP)需付出的成本為研究工具，回收之問卷以SPSS 20.0 版進行獨立樣本t 檢定，單因子變異數分析、相關分析、迴歸分析等統計方法進行資料分析，研究發現如下： 一、在個人背景變項中，顯示父母教育程度高、聽過病人自主權利法及預立醫療決定者，會較有意願進行預立醫療照護諮商。二、在生命經驗中，當學生有上過生命教育相關課程、擔任過醫院志工、有思考過自己重病時想要的醫療照顧為何、曾有親朋好友與您討論過若生病時的其希望的醫療處遇方式及身體狀況不同時會較有意願進行預立醫療照護諮商。三、在病主分的認知狀況中，當學生的分數越高其進行ACP的意願越高四、大學生需花費的金額會影響其進行ACP的意願。五、生命經驗、病人自主法認知狀況及等候時間可做為進行ACP意願的預測因子。 最後，根據本研究之結論提供建議，以做後續預立醫療照護諮商之推廣及研究參考。
This research is to understand the factors (personal background variables, life experience, awareness of Patient right to autonomy Act and cost of Advance care planning) that influence college students' willingness to receive ACP and to analyze the association between them. In this study, an online questionnaire was used to survey the day students of the universities in Chiayi County, and the official sample was selected by quota sampling, with 3% of the total number of students in each school as the sample size. A total of 851 questionnaires was collected and 813 questionnaires were valid after collation. A self-administered questionnaire on basic personal information, life experience, awareness of patient autonomy, and cost of willingness to engage in advance care consultation (ACP) were used as research tools, the recovered questionnaires were analyzed using SPSS version 20.0 for independent sample t-checking, one-way analysis of variance, correlation analysis, regression analysis and other statistical methods, and the study found the following:(1) The personal background variables show that parents with a high level of education, and those who have heard of the Patient right to autonomy Act and Advance decisions are more likely to be willing to have an Advance care planning.(2) In terms of life experience, students who have taken courses related to life education, worked as a hospital volunteer, thought about what kind of medical care they would like to receive when they are seriously ill, and had friends and relatives discuss with you how they would like to be treated if they were ill and how their physical condition would be different are more likely to be willing to consult for Advance care planning.(3) The higher the student's score, the higher the student's willingness to undergo ACP in the cognitive status of the patient's primary score(4) The amount of money a undergraduate students has to spend will affect his or her willingness to undergo ACP(5) Life experience, Patient right to autonomy Act and waiting time were used as predictors of willingness to perform ACP. Finally, based on the findings of this study, recommendations are provided for the promotion and research of the subsequent pre-established Advance care planning. |
| 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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