护理学专业实习生对缓和医疗的知识和认知及需求  

Knowledge,awareness and needs of undergraduate nursing intern students on palliative care

作　　者：梁思宇 李红滟 王巍[2] 郑莹[3] 葛楠[4] 曲璇[4] 邵亚娟[3] 秦瑛[5] 王磊[6] 刘薇[7] 宁晓红[4] Liang Siyu;Li Hongyan;Wang Wei;Zheng Ying;Ge Nan;Qu Xuan;Shao Yajuan;Qin Ying;Wang Lei;Liu Wei;Ning Xiaohong(Eight-year Program of Clinical Medicine,Enrolled in 2014 Peking Union Medical College,Chinese Academe of Medical Sciences Peking Union Medical College,Beijing 100730,China;Department of Nursing,Peking Union Medical College Hospital,Beijing 100730,China;Department of Oncology,Peking Union Medical College Hospital,Beijing 100730,China;Department of Geriatric Medicine,Peking Union Medical College Hospital,Beijing 100730,China;Department of Logistics,Peking Union Medical College Hospital,Beijing 100730,China;Department of Vascular Surgery,Peking Union Medical College Hospital,Beijing 100730,China;International Medical Center,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医学院,100730 [2]北京协和医院护理部,100730 [3]北京协和医院肿瘤内科,100730 [4]北京协和医院老年医学科,100730 [5]北京协和医院后勤保障处,100730 [6]北京协和医院血管外科,100730 [7]北京协和医院国际医疗部,100730

出　　处：《中华医学教育杂志》2020年第9期679-683,共5页Chinese Journal of Medical Education

基　　金：北京协和医学院教育教学改革项目(2019zlgc0119)。

摘　　要：目的调查护理学专业实习生对缓和医疗的知识、认知和需求,并分析其主要影响因素。方法采用问卷调查北京协和医学院护理学专业126名实习生对缓和医疗的知识、认知和需求。结果64.3%(81/126)的学生不同意"缓和医疗以延长患者生存时间为目的";37.3%(47/126)的学生不同意"缓和医疗以症状管理为治疗中心"。34.1%(43/126)的学生不同意或不确定"对终末期患者进行心理关怀能减轻其心理上的痛苦"。护生对缓和医疗相关技能培训有强烈需求。已接触过终末期患者的学生对缓和医疗的知识和培训需求显著高于没有接触过终末期患者的学生。结论缺乏系统缓和医疗教育的护理学专业实习生对于缓和医疗基本理念理解不准确,对于缓和医疗基本实践方式认知不足,对于缓和医疗培训需求高。Objective To investigate the knowledge, awareness and needs of undergraduate nursing intern students on palliative care through a cross-sectional survey and analyze the main influencing factors.Methods A questionnaire survey was conducted among 126 undergraduate nursing intern students of Peking Union Medical College to investigate palliative knowledge, awareness, needs.Results 64.3% (81/126) students did not agree that "palliative care is aimed at prolonging the survival time of patients";37.3%(47/126) students did not agree that "palliative care takes symptom management as the treatment center" . 34.1% (43/126) students did not agree or were not sure that "psychological care for end-stage patients can reduce their psychological pain" . Nursing students have a strong demand for palliative care related skills training. Students who have been exposed to end-stage patients have higher demand for palliative care knowledge and training than those who have not.Conclusions Undergraduate nursing students who lack palliative care education have inaccurate understanding of the basic concepts of palliative medicine, insufficient knowledge of palliative practice, and high demand for palliative training.

关 键 词：缓和医疗 临终关怀 护理学生 护理教育 

分 类 号：R-05[医药卫生] R0