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中西医结合医院护士临终照护态度及影响因素的调查分析 预览

Investigation and influencing factors analysis of nurses'attitudes toward end-of-life care in a certain hospital of integrated traditional Chinese and western medicine
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摘要 目的了解中西医结合医院护士临终照护的态度及影响因素。方法采用中文版临终关怀态度调查量表(FATCOD),以方便抽样法对山西省某三甲中西医结合医院的460名护士进行调查。结果中西医结合医院护士中文版FATCOD量表总分平均(99.83±8.31)分。单因素分析,不同年龄、工龄、学历、职称、职务的护士临终照护态度得分差异比较有统计学意义(P<0.05);多元线性回归分析,职务、以往临终照护经历对护士临终照护态度有影响(R^2=0.025,F=6.803,P<0.01)。在校学习是护士获得临终关怀相关知识的主要途径,其次是自身工作经验积累;护士最希望获得临终关怀知识的途径是职业培训或岗前培训,依次是自身经验积累、大众传媒等。结论中西医结合医院护士临终照护态度得分处于中等水平,提示需针对不同层次、特征的护士,采用不同的培训方式,加强临终关怀相关知识的系统化继续教育培训,以提高护士对临终患者及家属的照护质量,促进安宁疗护的发展。 Objective To investigate nurses’attitude towards end-of-life care and analyze its influencing factors.Methods The Chinese Frommelt Attitude Toward Care of the Dying(FATCOD)was adopted,and totally 460 nurses from comprehensive Hospital were investigated in a certain hospital of integrated traditional Chinese and western medicine in Shanxi Province.Results The total score of FATCOD scale was(99.83±8.31).Univariate analysis showed that there was a statistically significant difference relating to attitudes of hospice care among different ages,working ages,academic qualifications,titles,and job positions(P<0.05).Multiple linear regression analysis showed that the job position and end-of-care experience had an impact on nurses’attitudes toward end-of-life care(R^2=0.025,F=6.803,P<0.01).Conclusion Nurses’attitudes toward end-of-life care in the hospital of integrated traditional Chinese and western medicine was at a medium level.It is better to organize continuing education and training with proper methods regarding to different characteristics and needs,to systematically strengthen hospice care knowledge,to improve quality of care for dying patients and their families,and to promote the development of end-of-life care.
作者 段红英 金晓燕 沈丽琼 侯罗娅 DUAN Hongying;JIN Xiaoyan;SHEN Liqiong;HOU Luoya(Department of Oncology,Shanxi Hospital of Integrated Traditional and Western Medicine,Taiyuan,Shanxi,030013;Department of Teaching and Research,School of Nursing Peking University,Beijing,100191)
出处 《中西医结合护理(中英文)》 2019年第1期27-31,共5页 Nursing of Integrated Traditional Chinese and Western Medicine
关键词 临床护士 临终照护 安宁疗护 态度 影响因素 职业培训 clinical nurse,end-of-life care palliative care attitude influence factor vocational training
作者简介 通信作者:金晓燕,E-mail:jxybmu@sina.com.
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