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急診護理人員考量高齡病患健康識能的能力、對老人態度、溝通行為之相關性研究
Other Title
A Correlational Study on Emergency Nurses’ Health Literacy for Older Patients, Attitudes and Communication Behaviors
Type
thesis
Date Issued
2024-06-24
Author(s)
董恩璇
Advisor
顏心彥
Subjects
系所名稱：高齡健康暨長期照護學系碩士班
Publisher
高齡健康暨長期照護學系碩士班
Description
學位別：碩士
關鍵字：高齡照護; 高齡友善; 護理品質; 護病溝通; 中介效果
Emergency nurses should have the ability to consider the health literacy of older patients. Good health literacy can reduce patient anxiety and improve satisfaction during medical visits. This study aims to explore the correlation between emergency nurses’ ability to consider older patients’ health literacy, their attitudes towards the elderly, and their communication behaviors. It also examines the mediating effect of the ability to consider older patients’ health literacy on the relationship between attitudes towards the elderly and communication behaviors. This cross-sectional study targets current or former full-time emergency nurses with more than six months of experience. A convenience sampling method was used to distribute online questionnaires via social media platforms. Data were collected using a structured self-administered questionnaire, which included personal background variables, the ability to consider older patients’ health literacy, attitudes towards the elderly, and communication behaviors. Statistical analyses included descriptive statistics, independent samples t-tests, one-way ANOVA, and linear regression analysis. A total of 396 valid questionnaires were analyzed. The results showed significant differences in the ability to consider older patients’ health literacy based on gender, education level, age, hospital grade, and whether the nurse had received geriatric care training. Attitudes towards the elderly had a significant positive impact on communication behaviors, with a predictive power of 16%. The ability to consider older patients’ health literacy partially mediated the effect of attitudes towards the elderly on communication behaviors, increasing the predictive power to 40%. This study highlights the importance of emergency nurses’ ability to consider the health literacy of older patients. It suggests that providing relevant education and training can effectively improve emergency nurses’ attitudes towards older patients and their communication skills. This, in turn, will enhance the consideration of older patients’ health literacy, thereby improving the quality and satisfaction of emergency nursing services.
關鍵字：高齡照護; 高齡友善; 護理品質; 護病溝通; 中介效果
Emergency nurses should have the ability to consider the health literacy of older patients. Good health literacy can reduce patient anxiety and improve satisfaction during medical visits. This study aims to explore the correlation between emergency nurses’ ability to consider older patients’ health literacy, their attitudes towards the elderly, and their communication behaviors. It also examines the mediating effect of the ability to consider older patients’ health literacy on the relationship between attitudes towards the elderly and communication behaviors. This cross-sectional study targets current or former full-time emergency nurses with more than six months of experience. A convenience sampling method was used to distribute online questionnaires via social media platforms. Data were collected using a structured self-administered questionnaire, which included personal background variables, the ability to consider older patients’ health literacy, attitudes towards the elderly, and communication behaviors. Statistical analyses included descriptive statistics, independent samples t-tests, one-way ANOVA, and linear regression analysis. A total of 396 valid questionnaires were analyzed. The results showed significant differences in the ability to consider older patients’ health literacy based on gender, education level, age, hospital grade, and whether the nurse had received geriatric care training. Attitudes towards the elderly had a significant positive impact on communication behaviors, with a predictive power of 16%. The ability to consider older patients’ health literacy partially mediated the effect of attitudes towards the elderly on communication behaviors, increasing the predictive power to 40%. This study highlights the importance of emergency nurses’ ability to consider the health literacy of older patients. It suggests that providing relevant education and training can effectively improve emergency nurses’ attitudes towards older patients and their communication skills. This, in turn, will enhance the consideration of older patients’ health literacy, thereby improving the quality and satisfaction of emergency nursing services.
Abstract
急診護理人員應具備考量高齡病患健康識能的能力，良好的健康識能能力能減少病患就醫時的焦慮及提升就醫滿意度。本研究目的旨在探討國內急診護理人員考量高齡病患健康識能的能力、對老人態度、溝通行為之相關，並探討考量高齡病患健康識能的能力在對老人態度及溝通行為的中介效果。本研究為橫斷式研究，研究對象為現任或曾任6個月以上之正職急診護理經驗，採便利抽樣在社群平臺發放網路問卷。以結構式自填問卷進行資料收集，內容包括個人背景變項、考量高齡病患健康識能的能力、對老人態度、溝通行為。統計分析採用描述性統計、獨立樣本t檢定、單因子變異數分析、線性迴歸分析。本研究回收396份有效問卷進行分析，結果顯示性別、教育程度、年齡、醫院等級、曾接受高齡照護訓練課程分別對考量高齡病患健康識能的能力有顯著差異；老人態度對溝通行為有顯著正向影響，預測力16%；對考量高齡病患健康識能的能力具部份中介效果在老人態度對溝通行為，預測力提升至40%。本研究提出急診護理人員對考量高齡患者健康識能能力的重要性，建議提供考量高齡者健康識能的能力的相關教育訓練和學習，也可以有效提升急診護理人員對高齡病患的態度及溝通能力，從而更好地考量高齡病患的健康識能，提升急診護理服務品質及滿意度。