临床护士临终关怀态度影响因素分析及对策  

Analysis on impact factors affecting on clinical nurses toward caring for the dying and measures for improvement

作　　者：王丽萍 李亚洁[2] 李茶香[3] 颜文贞 张琼玲[4] 谢海清[5] 

机构地区：[1]广东医科大学护理学院,东莞523808 [2]南方医科大学南方医院护理部 [3]湖北省宜昌市中心人民医院护理部 [4]南方医科大学珠江医院心内科 [5]海南医学院第一附属医院护理部

出　　处：《中国实用护理杂志》2017年第10期729-735,共7页Chinese Journal of Practical Nursing

基　　金：2015年广东医科大学医学科研基金（M2015032）

摘　　要：目的 了解临床护士临终关怀态度现状并分析护士临终关怀态度的影响因素.方法 采取便利抽样法抽取15家医院的临床护士770人,利用一般资料评估表、临终关怀态度量表和死亡态度描绘量表进行调查.结果 临床护士中文版临终关怀态度（FATCOD-B-C）量表得分为（95.62±7.45）分.不同年龄组（F=2.285）、工龄（F=3.353）、学历（F=5.581）、职称（F=5.692）、医院级别（t=2.058）、宗教信仰（t=-2.788）、过往接受临终关怀教育情况（F=9.743）、以往照护终末患者及其家属经历（t=2.761）,护士的临终关怀态度差异有统计学意义（P〈0.05）.多元线性回归分析发现对临床护士临终关怀态度影响最大的因素为学历.结论 我国护士临终关怀态度积极性不高,可依据影响临终关怀态度的因素制订具体的方法进一步提高护士的临终关怀照护态度,促进临终关怀事业的发展.Objective To evaluate the attitudes of clinical nurses toward caring for the dying patients, and possible influencing factors concerning the attitudes were investigated, so as to provide a scientific basis for further intervention, thus improving the positive attitudes toward care of the dying patients in the future research. Methods A convenience sampling method was used to recruit 770 nurses from 15 hospitals located in 5 provinces in China. A demographic survey, Chinese version of Frommelt Attitudes Toward Care of the Dying Scale Form B （FATCOD-B-C） and Chinese version Death Attitude Profile-Revised were employed in the survey. Results FATCOD-B-C scale was used to evaluate the attitudes of nurses toward caring for dying patients, with the mean score of all FATCOD-B-C item being 95.62 ± 7.45. To analyze relationship among demographic variables and the total score of FATCOD-B-C. Univariate analysis revealed that age group （F=2.285）, years employed as a nurse （F=3.353）, educational background （F=5.581）, technical title （F=5.692）, level of hospital （t=2.058）, religious beliefs （t=-2.788）, previous education on death and dying（F=9.743）, previous experience in dealing with terminally ill persons （t=2.761） had significant influence on the nurses＇ attitudes toward caring for dying patients and families（P〈0.05）. Multiple linear regression analysis indicated that nurses＇ attitudes toward caring for dying patients had been affected by those factors, among which the most influential factor was educational background. Conclusions It shows that nurses＇FATCOD-B-C scores are at a low level. It is suggested to improve nurses＇ positive attitudes of caring for dying patients and their families by making the specific methods based on the influencing factors, thus improving the development of palliative care.

关 键 词：护士 态度 临终关怀医疗 影响因素 

分 类 号：R47[医药卫生—护理学]