北京市综合医院护理人员姑息照护知信行现状调查及影响因素分析  被引量:1

Current status of knowledge,attitude and practice of palliative care among nurses in Beijing general hospitals and its influencing factors

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作  者:果迪 董凡[2] 张晓雅 谢健安 孙超[4] 胡慧秀[4] 齐晓玖[4] 王海凤 曲祎玫 张军[1] Guo Di;Dong Fan;Zhang Xiaoya;Xie Jian'an;Sun Chao;Hu Huixiu;Qi Xiaojiu;Wang Haifeng;Qu Yimei;Zhang Jun(Department of Cardiovascular,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Special Medical Service Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Peking University,Beijing 100191,China;Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区:[1]北京医院心内科,国家老年医学中心,中国医学科学院老年医学研究院,100730 [2]北京医院特需医疗部,国家老年医学中心,中国医学科学院老年医学研究院,100730 [3]北京大学护理学院,100191 [4]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,100730

出  处:《中华现代护理杂志》2021年第27期3680-3686,共7页Chinese Journal of Modern Nursing

基  金:北京医院121工程项目(BJ-2019-194)。

摘  要:目的对北京市10家综合医院护理人员的姑息照护知信行现状进行调查并探索其影响因素,为进一步开展姑息照护方面培训及管理提供参考依据。方法采用便利抽样方法,于2020年3—4月采用中文版姑息照护知识、态度、行为3个问卷对北京市10家综合医院护理人员进行调查。共回收问卷850份,有效问卷833份,有效率为98.00%。采用多重线性回归分析对护理人员姑息照护知信行影响因素进行分析。结果北京市10家综合医院护理人员姑息照护总体得分为(82.16±8.73)分,得分率68.47%。知识得分为(12.36±4.14)分,得分率为61.80%;态度得分为(36.85±3.97)分,得分率61.42%;行为得分为(32.95±5.84)分,得分率82.37%。多重线性回归分析显示,参加过姑息照护培训、性别、职称、知识水平和态度水平、月收入是护理人员姑息照护知信行的主要影响因素(P<0.05)。结论北京市综合医院护理人员姑息照护认知现状处于中等水平,需要进一步提高。护理管理者应加强对护理人员的培训与教育,提高相关知识水平,提高姑息照护态度与从业积极性,以促进行为方面的改变,提高临床护理质量。Objective To investigate the current status of knowledge,attitude and practice of palliative care among nurses in 10 general hospitals in Beijing and explore its influencing factors,so as to provide a reference for further training and management of palliative care.Methods From March to April 2020,convenience sampling was used to select nurses from 10 general hospitals in Beijing for investigation with three questionnaires on knowledge,attitude and behavior of palliative care in Chinese.A total of 850 questionnaires were returned and 833 valid questionnaires were collected,with a valid rate of 98.00%.Multiple linear regression analysis was used to analyze the influencing factors of knowledge,attitude and behavior of palliative care among nurses.Results The overall score for palliative care of nursing staff in 10 general hospitals in Beijing was(82.16±8.73),with a score rate of 68.47%.The knowledge score was(12.36±4.14)with a score rate of 61.80%,and the attitude score was(36.85±3.97)with a score rate of 61.42%,and the behavior score was(32.95±5.84)with a score rate of 82.37%.Multiple linear regression analysis showed that participation in palliative care training,gender,job title,knowledge and attitude,and monthly income were the main influencing factors of nurses'knowledge,attitude and behavior on palliative care(P<0.05).Conclusions The current status of palliative care awareness among nurses in Beijing general hospitals is at an intermediate level and needs to be further improved.Nursing managers should strengthen the training and education of nursing staff,improve relevant knowledge,palliative care attitudes and professional enthusiasm,so as to promote behavioral changes and improve the quality of clinical nursing.

关 键 词:护理人员 姑息照护 知识 态度 行为 

分 类 号:R47[医药卫生—护理学]

 

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