HO001800011775 |
高齢者施設ケアスタッフに対する Advance Care Planning 実践教育プログラムの効果評価 |
Effects of an“Advance Care Planning”Educational Program for Care Staff in a Nursing home |
目的】Advance Care Planning(以下 ACP)の専門職者に対する教育機会はまだ少ない.よって本研究は,高齢者施設における ACP 実践教育プログラムの開発と効果評価を目的とする.【方法】A 高齢者施設のケア従事者 25 名を研究対象者とした 1 群の事前・事後テストデザインである.介入前・全プログラム直後・3 ヶ月後に質問紙調査を行った.AD 態度尺度,死生観尺度等の変化を分析し , 自由記述は質的記述的に分析した.【結果】AD 態度尺度では,介入前から 3 ヶ月後では AD に前向きな態度が上昇した(p < .001).死生観尺度においては,「死への恐怖」において介入前から 3 ヶ月後に有意に低下した(p=.02).“改めて利用者の希望を確認していく”といったカテゴリーが導きだされた.【結論】ACP 教育プログラム参加により,AD への態度や「死への恐怖」意識の低下など本プログラムによる一定の効果が示唆された. |
Purpose: The present study aimed to examine the effects of an ACP educational program in nursing home. Method: The design was a single-arm study to evaluate staff attitudes pre- and post-program. A 90-minute intervention program was three times during the 3 month, along with self-directed study. The study outcomes included attitudes towards Advance Directives(AD), the Death Attitude Inventory (DAI), and the Frommelt Attitude Toward Care of Dying scale(FATCOD- Form B-J). We used Wilcoxon signed-rank test and Friedman test the data of baseline, immediately after, and after 3 months. Statistical analysis was performed using IBM SPSS Statistics 20. As a program evaluation, comments on participant?s questionnaires from two questions were categorized and evaluated. Result: Participants of this study was 25 care staffs.(Average age was 36 years old). The most common occupational description was care worker (n=17).“Attitudes towards AD score”was increased from 9.0 to 10.0, which statistically significant(p=.00). The score for 'Death anxiety' in the DAI decreased from 21.0 to 16.5, which statistically significant(p = .02). As a program evaluation, comments on participant's questionnaires were categorized and evaluated. They thought that “Will check the clients wish, again”. Conclusion: These results suggest that the present ACP educational program was effective at improving staff attitudes towards the end of life care of patients. |
Advance Care Planning, Advance Directive, End of Life Care, Education Program, |
Departmental Bulletin Paper |
日本語 |
濱吉美穂 / 後藤小夜子 / 松岡千代 / 河野あゆみ |
HAMAYOSHI Miho / GOTO Sayoko / MATSUOKA Chiyo / KONO Ayumi |
保健医療技術学部論集 |
佛教大学保健医療技術学部 |
18813259 |
18 |
3 |
17 |
2024年03月01日 |
https://bukkyo.alma.exlibrisgroup.com/discovery/openurl?institution=81BU_INST&vid=81BU_INST:Services&rfr_id=info:sid%2Fsummon&rft_dat=ie%3D21305987650006201 |
https://archives.bukkyo-u.ac.jp/rp-contents/HO/0018/HO00180L003.pdf |
https://archives.bukkyo-u.ac.jp/repository/baker/rid_HO001800011775 |
公開中 |