摘要
目的 调研广州市在校高中生对临终关怀的认知、态度及其影响因素,为提高青少年临终关怀与死亡教育的理解水平提供依据。方法 采用方便抽样、问卷调查法,回收问卷226份。问卷涵盖两部分:调查对象基本情况、对临终关怀的认知与态度情况(包含4个维度:临终关怀基本知识、疼痛控制知识、临终关怀态度与想法、临终关怀教育态度)。利用Excel软件对数据进行初步筛选、预处理及建立数据库,采用SPSS21.0进行统计分析,并通过t检验、方差分析进行差异分析,多元线性回归进行相关性分析。结果 高中生群体对临终关怀具备基本认知,而在临终关怀基本知识、疼痛控制知识、临终关怀态度与想法、临终关怀教育态度四个维度中,“疼痛控制知识”维度的认知最为薄弱环节,“临终关怀态度与想法”条目得分最高,该维度为认知较强环节。结论 高中生临终关怀认知现状的主要影响因素为家庭形态、家庭居住地、有无了解过临终关怀。建议学校增设临终关怀与死亡教育相关医学人文教育课程,与安宁疗护中心合作开展临终关怀体验实践;建议相关部门或组织充分利用网络媒体、微信公众号等媒介从多渠道、多方位加强临终关怀大众性、普及性宣教与科普,提高青少年临终关怀教育的水平与质量。
Objective:To investigate the cognition, attitude and influencing factors of hospice care among high school students in Guangzhou, and to provide basis for improving the understanding level of hospice care and death education among adolescents. Methods: A total of 226 questionnaires were collected by convenient sampling and questionnaire survey. The questionnaire covered two parts: basic information of the respondents, cognition and attitude towards hospice care(including four dimensions: basic knowledge of hospice care, knowledge of pain control, attitude and thought of hospice care, and attitude towards hospice care education). Excel software was used to preliminary screen, preprocess and establish database of data. SPSS21.0 was used for statistical analysis. T-test and ANOVA were used for difference analysis, multiple linear regression was used for correlation analysis. Results: High school students had a basic understanding of hospice care. Among the four dimensions of basic knowledge of hospice care, knowledge of pain control, attitude and thought of hospice care, and attitude towards hospice care education, the cognition of “knowledge of pain control” dimension was the weakest link, and the entry of “attitude and thought of hospice care” had the highest score, which was the strong cognitive link. Conclusion: The main influencing factors of high school students’ cognition of hospice care were family structure, family residence and whether they have understood hospice care. This paper recommended that schools should add medical humanities education courses related to hospice and death education, and cooperate with hospice care centers to carry out hospice care experience practices. It was also suggested that relevant departments or organizations should make full use of mainstream media, such as online media and WeChat public accounts, to strengthen the popularity and popularization of hospice care education and science popularization from multiple channels and aspects, and improve the level and quali
作者
许子涵
严金海
XU Zihan;YAN Jinhai(Guangzhou Tianxing Experimental School,Guangzhou 510650,China;Department of General Education,Southern Medical University,Guangzhou 510515,China)
出处
《中国医学伦理学》
2023年第3期298-304,共7页
Chinese Medical Ethics
关键词
高中生
临终关怀
认知现状
死亡教育
High School Students
Hospice Care
Cognitive Status
Death Education
