摘要
目的了解三甲医院护士安宁疗护临床实践现状及影响因素,为提高护士安宁疗护水平提供参考。方法采用自行设计的问卷,对山西省25所三甲医院481名护士进行调查。结果护士的临床实践总分(70. 97±14. 40)分,各维度得分由高到低依次为症状控制(74. 06±11. 18)、心理支持(73. 52±19. 64)、死亡教育(67. 24±21. 89)、哀伤辅导(66. 69±21. 54)。经方差分析,接受安宁疗护相关培训、对《指南》了解情况2项得分差异有统计学意义(均P <0. 01),其中接受培训≥3次者得分显著高于其他人员,从未听说过《指南》护士得分显著低于其他人员(均P <0. 05)。结论护士安宁疗护实践处于中等水平,受安宁疗护知识培训、对《指南》了解程度的影响。管理者应加强安宁疗护系统化、规范化继续教育,提高安宁疗护临床实践水平。
Objective To investigate current practice of hospice care by nurses from 3A hospitals of Shanxi province,analyze the influencing factors,and provide references for training programs intended to improve nurses′ hospice care levels.Methods A self-designed questionnaire was used to investigate 481 nurses in 25 3A hospitals in Shanxi province.Results The average score of hospice care practice by the nurses was 70.97±14.40,with the dimension scores in descending orders being symptom control (74.06± 11.18 ) points,psychological support (73.52±19.64),death education (67.24±21.89),and bereavement counselling (66.69± 21.54 ).Univariate analysis of variance showed that,nurses′practice scores were associated with past hospice care training experience and knowledge of hospice care guidelines (P<0.01 for both);nurses who had received past training more than 3 times regarding hospice care scored significantly higher,and nurses who had no knowledge of hospice care guidelines scored significantly lower than their counterparts (P<0.05 for both).Conclusion The practice of hospice care by nurses was at medium level,and was associated with past history of hospice care training and the knowledge of hospice care guidelines.Managers should strengthen systematic and standardized continuing education of hospice care,and promote the practice level of hospice 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 Chinese and Western Medicine,Taiyuan 030013, China)
出处
《护理学杂志》
CSCD
北大核心
2018年第24期8-10,共3页
Journal of Nursing Science
关键词
护士
三甲医院
安宁疗护
死亡教育
哀伤辅导
临床实践
nurses
3A hospitals
hospice care
death education
bereavement counselling
clinical practice
