河北省三级医院ICU护士死亡焦虑影响因素及对策研究  

Multifactorial investigations on the factors and countermeasures for death anxiety of ICU nurses in provincial tertiary hospital in Hebei province

作　　者：薛娜娜[1] 刘玉芳[1] 肖荷妹[2] 赵书云[1] 梁会贞[1] 于风雪[3] XUE Na-na;LIU Yu-fang;XIAO He-mei;ZHAO Shu-yun;LIANG Hui-zhen;YU Feng-xue(The Fifth Department of Tuberculosis,Hebei Chest Hospital,Shijiazhuang 050041,China;Department of Comprehensive Internal Medicine,Harrison International Peace Hospital,Hebei Province,Hengshui 053200,China;Department of Research,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北省胸科医院结核五科,河北石家庄050041 [2]哈励逊国际和平医院综合内科,河北衡水053200 [3]河北医科大学第二医院科研处,河北石家庄050000

出　　处：《河北医科大学学报》2018年第9期1017-1020,1025,共5页Journal of Hebei Medical University

基　　金：河北省医学科学研究重点课题(20170425)

摘　　要：目的探讨河北省三级医院重症监护室(intensive care unit,ICU)护理人员死亡焦虑影响因素,为降低其死亡焦虑水平提供策略。方法抽取河北省三级医院ICU护士作为研究对象,调查死亡焦虑现状。应用SPSS19.0软件进行相应的统计学分析。结果年龄≤25岁护士死亡焦虑评分明显低于>25岁护士,ICU男性护士死亡焦虑评分明显低于女性护士,护士初始学历为中专、大专的死亡焦虑评分高于本科,主管护师死亡焦虑评分高于护士,差异均有统计学意义(P<0.05)。年龄≤25岁、有参与亲人临终处置经历和曾经系统参加临终关怀相关培训是死亡焦虑的"保护因素"。培训后死亡焦虑评分低于培训前和培训中,差异有统计学意义(P<0.05)。结论组织ICU护士开展死亡焦虑系统培训工作行之有效,值得推广。Objective To explore the influencing factors for death anxiety among intensive care unit（ICU） nurses in provincial tertiary hospitals in Hebei province, and to provide strategies for reducing it.Methods ICU nurses from the tertiary hospitals in Hebei province were selected as subjects to investigate the status of death anxiety. The application of SPSS 19.0 software for the corresponding statistical analysis.Results The death anxiety score of nurses aged ≤25 years was significantly lower than that of nurses 〉25 years old. The death anxiety score of male nurses in ICU was significantly lower than that of female nurses. The initial education degree of nurses was higher than that of undergraduate students in secondary school and junior college. The teacher＇s death anxiety score was higher than that of the nurses, and the difference was statistically significant（ P 〈 0.05）. The age of ≤25 years old, the experience of participating in the dying of relatives and the systematic training of hospice care are the “protective factors” of death anxiety. The anxiety score after training was lower than that before training and training, and the difference was statistically significant（ P 〈 0.05）.Conclusion The training of death anxiety system conducted by ICU nurses is worth promoting.

关 键 词：护士 死亡焦虑 影响因素分析 

分 类 号：R473.1[医药卫生—护理学]