| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 90 === Our research purposes are to discuss the related knowledge, attitude & behavior intention of hospice/palliative medicine for the cancer patient, and to evaluate the influence of the instruction program (the multimedia interactive videodisc learning system is the assisted instruction tool). Our research uses pretest-posttest quasi-experimental design and structured questionnaires to evaluate the effect of the instruction program. There are totally sixty cancer patients to participate this research, we use the drawing device to divide into two groups which are experimental group and control groups, and each group contains thirty patients. Only the experimental group is educated with the instruction program after the pretest trial.
The research results show that the knowledge scores of all patients are below average, and the attitude and the behavior intention are near the average score before the instruction program. The patients’ sources of the hospice/palliative medicine knowledge are from “Media advertising”, the understanding level for the hospice/palliative medicine is “fully understand”, and the higher the scores of the good-death agreement index, have the higher scores of the knowledge in pretest trail, then the attitude is more positive. In the pretest trial, the correlation of the attitude and the good-death index scores is positive(r=0.673, p<0.001). In the pretest trial the correlation of behavioral intention and attitude is positive(r=0.517, p<0.001), but the relationship of behavioral intention and knowledge is no statistically significant. It means that the knowledge changes the behavior intention dependent on the attitude changing.
After using the instruction program, it shows the obvious effects on better acknowledgement, and more positive attitude and the behavior intention (z=-5.663, p<0.001；t=-4.569, p<0.001；z=-2.986, p<0.01). The significant growing of the knowledge lets the direct correlation of the knowledge and the behavior intention be significantly positive (r=0.303, p<0.05).
Overall, our research of the instruction program for the cancer patient is effective on the knowledge growing, and it is a good assistant tool that needed to be popularized by everyone.
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