社区医护人员预立医疗照护计划知信行的调查  

Investigation on the knowledge,attitudes and practice of advance care planning in community medical staff

作　　者：张丹丹[1] 李虹[1] 赵璠 吴娟[1] 张洁[1] Zhang Dandan;Li Hong;Zhao Fan;Wu Juan;Zhang Jie(Geriatric Medical Ward, Beijing Hospital, National Center of Gerontology, Beijing 100730, China)

机构地区：[1]北京医院老年医学病房/国家老年医学中心,北京100730

出　　处：《护理学杂志》2019年第1期77-79,102,共4页Journal of Nursing Science

摘　　要：目的了解社区医护人员对预立医疗照护计划的知识态度行为状况,为在社区推广和实施预立医疗照护计划提供依据。方法采用自制的社区医护人员预立医疗照护计划知信行问卷对北京市6所社区医院的114名社区医护人员进行调查。结果社区医护人员预立医疗照护计划的知识问卷回答正确率为53. 87%;态度得分为(4. 06±0. 83)分,处于中等偏上水平,不同职务、工作年限医护人员的态度得分比较,差异有统计学意义(P <0. 05,P <0. 01);行为得分为(3. 35±0. 95)分,处于中等水平,不同学历、职业类型、职务、职称、是否听说过预立医疗照护计划的医护人员其行为得分比较,差异有统计学意义(P <0. 05,P <0. 01)。结论社区医护人员对预立医疗照护计划的态度较积极,但认知和行为水平偏低。应着重加强社区医护人员相关知识全面系统的培训,综合考虑法律、伦理道德等多方面的问题,为预立医疗照护计划在社区的普及和推广做好准备。Objective To investigate the status of knowledge, attitudes and practice of advance care planning in community medical staff, in order to provide the basis for the promotion and implementation of advance care planning in the community. Methods A total of 114 community medical staff were selected from 6 community hospitals in Beijing, and a self-designed questionnaire about knowledge, attitudes and practice of advance care planning was used to investigate the included staff. Results The correct rate of answering the knowledge questionnaire of advance care planning was 53.87%, and the attitude score was (4.06±0.83) points, which was slightly above the middle level.There were significant differences in attitude scores among medical staff with different positions and working years ( P <0.05, P <0.01). The behavior score was (3.35±0.95) points, which was at medium level. There were significant differences in behavioral scores among medical staff with different educational backgrounds, occupational types, positions, technical titles and whether they had heard of advance care planning ( P <0.05, P <0.01). Conclusion Community medical staff have a positive attitude towards advance care planning, however, the level of knowledge and practice are low.We need to strengthen comprehensive and systematic training about relevant knowledge for community medical staff, and take into account various aspects of law, ethics and morality, in order to prepare for the popularization and promotion of advance care planning in the community.

关 键 词：社区医院 医护人员 预立医疗照护计划 知信行 

分 类 号：R192.6[医药卫生—卫生事业管理] R48[医药卫生—公共卫生与预防医学]