社区医护人员对待临终关怀、死亡和照顾临终患者的态度及相关性分析  

Community health care providers’ attitude towards end-of-life care, death and caring for dying patients

作　　者：史宏睿 陕柏峰[3] 张瑛[4] 周芸[4] 程丽楠[1] 张静 胡秀英[2] SHI Hongrui;SHANBaifeng;ZHANG Ying;ZHOU Yun;CHEN Linan;ZHANG Jing;HU Xiuying(West China School of Nursing/West China Hospital,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西护理学院/四川大学华西医院,成都市610041 [2]四川大学华西临床医学院/华西医院,华西护理创新研究中心 [3]太原市红十字血液中心 [4]长治医学院

出　　处：《中国护理管理》2019年第6期830-835,共6页Chinese Nursing Management

基　　金：山西省教育科学“十三五”规划2017年度课题(GH-17049);四川省科技厅重点研发项目(2018SZ0404);山西省大学生创新创业训练项目(2016313)

摘　　要：目的:调查社区医护人员对待临终关怀、死亡和照顾临终患者的态度,并分析三者之间的相关性。方法:抽取长治市9所社区卫生服务机构的132名医护人员进行问卷调查,结果采用SPSS 22.0软件进行统计分析。结果:社区医护人员的死亡态度各维度得分分别为:自然接受(3.84±0.57)分、死亡恐惧(3.13±0.76)分,死亡逃避(3.02±0.71)分、逃离接受(2.68±0.84)分、趋近接受(2.66±0.78)分。临终关怀态度和照顾临终患者态度总均分分别为(3.47±0.44)分和(3.43±0.33)分。死亡态度与照顾临终患者态度间:自然接受与以患者及其家属为中心的照顾意识中度相关(r=0.562,P<0.01)。临终关怀态度与照顾临终患者态度间:临终关怀有效性、临终关怀态度总分与照顾临终患者情感、以患者及其家属为中心的照顾意识分别呈中度相关(r=0.509~0.604,P<0.01)。结论:社区医护人员对待死亡、临终关怀和照顾临终患者的态度均较积极。临终关怀态度和照顾临终患者态度之间有较强的相关性。Objective:To investigate community health care providers'attitude towards end-of-life care,death and caring for dying patients,and analyze the correlation among them.Methods:Totally 132 community health care providers of nine community health institutions in Changzhi city were investigated.Data was analyzed by SPSS 22.0 software.Results:The average scores of attitude towards dimensions of death were:neutral accptance(3.84±0.57),fear of death(3.13±0.76),death avoidance(3.02±0.71),escape acceptance(2.68±0.84),approach acceptance(2.66±0.78).The average scores of attitude towards end-of-life care,caring for dying patients were(3.47±0.44),and(3.43±0.33)respectively.Natural acceptance was moderately correlated with the sense of care centered on patients and their families(r=0.562,P<0.01).There was a moderate correlation between the effectiveness of end-of-life care and the feelings of caring for dying patients(r=0.509,P<0.01),and the sense of care centered on patients and their families(r=0.604,P<0.01),the total score of attitude towards end-of-life care and the feelings of caring for dying patients(r=0.595,P<0.01),and the sense of care centered on patients and their families(r=0.576,P<0.01).Conclusion:Community health care providers'attitude towards death,end-of-life care and caring for dying patients are positive.There is a strong correlation between attitude towards end-of-life care and attitude towards caring for dying patients.

关 键 词：社区 临终关怀 照顾态度 死亡态度 

分 类 号：R47[医药卫生—护理学]