摘要
目的调查上海市医务人员对安宁疗护的培训需求现状及影响因素,为完善安宁疗护培训项目提供实证依据。方法基于布鲁姆教育目标分类法,结合文献评阅和专家咨询,研制上海市医务人员安宁疗护培训需求问卷,于2019年11—12月,对上海市223家注册临终关怀科或开展安宁疗护服务机构的7 074名医务人员进行培训需求调查。结果回收有效问卷7 027份,有效回收率为99.3%。医务人员对所有条目的培训需求均>71.0%,培训需求总分为(2.58±0.63)分。各维度培训需求从高到低依次为知识[(2.59±0.64)分]、动作技能[(2.57±0.68)分]和情感[(2.56±0.70)分],具体需求最高的前3项为生前预嘱和法律知识(80.5%,5 660/7 027),安宁疗护社会工作方法(75.3%,5 290/7 027),安宁疗护服务中的压力和适应(75.1%,5 279/7 027)。女性[(2.61±0.62)分]、行政管理、医技及其他岗位[均为(2.68±0.56)分]、初级职称[(2.61±0.62)分]、未目睹临终患者死亡的过程[(2.65±0.58)分]、未参与过安宁疗护服务工作[(2.68±0.55)分]的医务人员的培训需求更高(P<0.05)。结论各级各类医疗机构医务人员对安宁疗护的培训需求均较高,建议靶向开展多层次、针对性强的安宁疗护培训,满足不同医务人员的培训需求。
Objective To investigate the current training needs of hospice care among health providers in Shanghai.Methods Based on the B.S.Bloom classification of educational objectives,a questionnaire on the training needs of hospice care for health providers in Shanghai was developed.From November to December 2019,a questionnaire survey on the training needs of hospice care was conducted among 7074 health providers in 223 medical institutions in Shanghai.Results A total of 7027 valid questionnaires were recovered,with an effective recovery rate of 99.3%.The training needs of health providers in Shanghai exceeded 71.0%for all items,with the average score of(2.58±0.63).The degree of training needs in each dimension ranges from high to low were knowledge(2.59±0.64),action(2.57±0.68)and motion(2.56±0.70).The top three training needs were“living will and law”(80.5%,5660/7027),“social work methods for hospice care”(75.3%,5290/7027)and“stress and adaption in hospice care services”(75.1%,5279/7027).Female health providers(2.61±0.62),administrators,medical personnel and other post workers(2.68±0.56),those with junior professional title(2.61±0.62),with no witness of dying process(2.65±0.58),and those without participating in hospice care service(2.68±0.55)had higher training needs(P<0.05).Conclusion The training needs of hospice care for health providers are very high in all hospitals.It is suggested to conduct stratified and targeted training for health providers in different positions and institutions according to the different training needs of hospice care.
作者
许艺帆
王裔婷
滕晓涵
荆丽梅
舒之群
李水静
施永兴
Xu Yifan;Wang Yiting;Teng Xiaohan;Jing Limei;Shu Zhiqun;Li Shuijing;Shi Yongxing(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Disciplinary Planning Office,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Center for Specialty Strategy Research of China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai 200011,China;Department of Primary Health,Shanghai Municipal Health Commission,Shanghai 200125,China;China Life Care Association,Shanghai 200333,China)
出处
《中华全科医师杂志》
2021年第4期458-462,共5页
Chinese Journal of General Practitioners
基金
上海市浦江人才计划(2019PJC099)
教育部人文社会科学研究规划基金(20YJAZH045)
上海市哲学社会科学规划课题(2019BGL032)。
关键词
安宁疗护
医务人员
问卷调查
培训需求
影响因素
Hospice care
Medical staff
Questionnaires
Training needs
Influencing factors
