本研究旨在檢證兒科醫護人員靈性健康與死亡態度之關係,採用問卷調查法,以研究者所工作之醫院兒科醫療人員為對象,共發出140份,回收有效問卷共116份。研究使用「個人資料調查」、「靈性健康量表」與「死亡態度量表」等工具,資料分別以「描述性統計」、「單因子變異述分析」、「Pearson’s積差相關」及「多元逐步迴歸分析」等統計方法加以分析,研究發現如下:
一、靈性健康每題平均得分以「與人締結」為最高,最低則為「宗教寄託」;死亡態度每題平均得分以「中立型死亡接受」為最高,最低則為「死亡恐懼與逃避」。
二、女性比男性、有宗教信仰比無宗教信仰、專科護理師比醫師及小兒科加護病房比急診室在宗教寄託得分來得高;36歲以上比26~35歲和參加生死學相關研習或課程比未參加生死學相關研習或課程在超越逆境得分來得高;參加生死學相關研習或課程比未參加生死學相關研習或課程在活出意義及靈性健康總分得分來得高。
三、男性比女性在趨近與解脫死亡接受得分來得高,然而女性比男性在死亡態度總分得分來得高;25歲以下高於26~35歲及護理師皆高於醫師在死亡恐懼與逃避得分來得高;護理師比醫師在趨近與解脫死亡接受及死亡態度總分得分來得高;在趨近與解脫死亡接受及死亡態度總分得分,小兒科加護病房最高,其次是急診室,最低則為小兒科病房;參加過生死學相關研習或課程比沒有參加過生死相關研習過課程在中立型死亡接受得分來得高。
四、在死亡態度與靈性健康之「宗教寄託」有顯著中低度正相關及死亡態度與靈性健康之「活出意義」有顯著中低度正相關,其餘皆為零相關。
五、兒科醫護人員在靈性健康之宗教寄託對死亡恐懼與逃避、趨近與解脫死亡接受及死亡態度總分為最佳預測變項,預測力分別為5.9%、29%、19.8%;兒科醫護人員在靈性健康之活出意義對立中型死亡接受為最佳預測變項,預測力為5.9%。
This study aims to examine the association between spiritual health and death attitude with medical staffs in pediatric department of one northern teaching hospital. The total subjects are 140 by census sampling and valid return rate is 83%. The measurement tools are personal data, spiritual health scale and death attitude scale and statistical analyses are descriptive, one-way ANOVA, Pearson correlation and multiple stepwise regression. The findings are:
1. The highest score of item average is “relationship with people” and the lowest score of item average is “religious comfort” in spiritual scale; The highest score of item average is “neutral death acceptance” and the lowest score of item average is “death fear and avoidance” in death attitude scale.
2. Gender, religion belief and position rank exist difference in religion comfort subscale; age and whether to attend death seminar exist difference in in beyond adversity subscale, life meaning subscale and spiritual health total score.
3. Gender, division of medical care and position rank exist difference in approach and avoidance of death subscale and death attitude total score; whether to attend death seminar exists difference in neutral death attitude.
4. There are not correlation relation existed in spiritual health and death attitude except some moderate low positive correlation between religious comfort subscale of spiritual health and between living meaning subscale of spiritual health and death attitude.
5. Religious comfort is the best predictive variable to death fear and avoidance, relief of death acceptance and death attitude total score with 5.9%、29% and 19.8% variance explained in pediatric medical staffs; living meaning subscale of spiritual health is the best predictive variable to neutral death acceptance subscale of death attitude with 5.9% variance explained in pediatric medical staffs.