針對腦神經科醫護人員早期安寧緩和療護線上課程之效益

Abstract

目的：本研究旨在設計早期安寧緩和療護線上溝通技巧訓練課程，並測試其對醫護人員溝通自信心及安寧準備度的效益。 方法：本研究為單盲實驗性研究，邀請腦神經科醫護人員參與，研究的病房被隨機分派至兩組，實驗組(n=53)醫護人員接受線上早期安寧緩和療護教育課程，控制組(n=60)則接受一般常規教育課程，於介入前及後一個月測量兩組溝通自信心及安寧準備度，以階層回歸分析。 結果：本研究發現實驗組醫護人員在溝通自信心(B=-5.456, p=0.341)及安寧準備度(B=-0.612, p=0.667)上，與控制組醫護人員並無不同。 結論：研究發現大部分醫護人員已具備早期安寧緩和療護觀念與行為，因此介入措施可改善的空間有限；但在COVID-19大流行期間，持續設計並提升線上教育課程的品質，是我們需要不斷努力的方向。  Purpose: This study aimed to develop an online early hospice palliative care (EHPC) communication skills training (CST) for healthcare personnel (HCP) and evaluate its effectiveness on HCP’s confidence in communication and preparation of palliative care. Methods: This was a single-blind experimental study. HCP of cerebral neurological departments were invited and randomly assigned to the intervention group (IG) (n=53) or control group (CG) (n=60) block by their wards, with the IG participating in online EHPC CST and the CG receiving regular in-service training. The outcomes of the confidence in communication and preparation of palliative care were collected before (T0) and immediately after intervention (T1). Hierarchical regression was used for data analysis. Results: This study found no significant differences in confidence in communication (B = -5.456, p = 0.341) and preparation of palliative care (B= -0.612, p = 0.667) between the IG and the CG. Conclusion: Most HCP in this study already have palliative referral perceptions and behaviors, so there is limited room for improvement in interventional measures. However, during the COVID-19 epidemic, researchers should continue to strive to revise and improve the quality of online education courses to promote early hospice palliative care.