摘要
目的护理实习生是临床环境中重要的观察者,调查学生对缓和医疗/医疗照护现状的看法是了解临床总体情况的重要手段。方法纳入北京协和医学院护理专业实习生(护理实习生)126名。问卷调查其对于终末期患者沟通与症状控制相关的缓和医疗现状的满意度。研究对象年龄范围为20~21岁。结果63.5%(80/126)的学生对终末期疼痛管理满意,34.1%(43/126)和35.7%(45/126)对与患者的日常沟通和困难谈话满意,33.3%(42/126)对患者离世后安慰亲属满意。有亲人离世经历的护理实习生总体满意度显著低于没有这一经历的学生(25.21比28.41,P<0.01);接触过缓和医疗的学生总体满意度显著低于没有接触的学生(26.18比31.90,P<0.001)。结论护理实习生对缓和医疗实施的总体满意度较低,提示缓和医疗在临床实施和教学中存在不足。
Objective Nursing intern students are important observers in the clinical environment.Comprehensive data about palliative care in medical environment can come from a survey that asked nursing intern students about the behaviors of faculty.Methods This survey included a total of 126 third-year nursing intern students from Peking Union Medical College.A self-designed questionnaire was used to investigate the extent to which the students were satisfied about faculty's behaviors related to palliative care,including communication,symptom control and difficult conversations.The students aged 20 to 21.Results There were 63.5%(80/126)students satisfied with the pain management,34.1%(43/126)and 35.7%(45/126)students were satisfied with the daily communication and conversations to overcome barriers between faculty and patients.Only 33.3%(42/126)were satisfied with the care to the family members after patient’deaths.Nursing intern students who recently experienced the death of patients had significantly lower satisfaction with clinical environment dealing with decedent’s family members than those without this experience(25.21 vs 28.41,P<0.01).Students who received training of palliative care had shown significantly lower satisfaction with clinical environment than those without the training(26.18 vs 31.90,P<0.001).ConclusionsNursing intern students are unsatisfied with the clinical environment for the training of palliative care indicating some weakness in the performance of palliative care in hospital and the need to improve clinical teaching of palliative care.
作者
梁思宇
郑莹
葛楠
曲璇
李红滟
王巍
宁晓红
LIANG Si-yu;ZHENG Ying;GE Nan;QU Xuan;LI Hong-yan;WANG Wei;NING Xiao-hong(Department of Geriatric Medicine,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730;CAMS&PUMC,Beijing 100730,China;Department of Oncology,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730;Department of Nursing,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730;Department of Endocrinology,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730)
出处
《基础医学与临床》
2022年第7期1156-1159,共4页
Basic and Clinical Medicine
基金
北京协和医学院教育教学改革项目(2019zlgc0119)。
