肿瘤科护士应对死亡工作自我能力现状及影响因素分析  

Self-competence in death work among oncology nurses and the influencing factors

作　　者：许宝惠 胡成文 黄家丽 顾道琴 孙丽[1] 李凤侠 Xu Baohui;Hu Chengwen;Huang Jiali;Gu Daoqin;Sun Li;Li Fengxia(Department of Hematology,West Branch of the First Affiliated Hospital,University of Science and Technology of China,Hefei 230031,China;不详)

机构地区：[1]中国科学技术大学附属第一医院西区(安徽省肿瘤医院)血液科,安徽合肥230031 [2]中国科学技术大学附属第一医院西区(安徽省肿瘤医院)护理部,安徽合肥230031

出　　处：《护理学杂志》2022年第13期51-54,共4页Journal of Nursing Science

基　　金：2021年安徽省护理学会科研课题重点项目(AHHLa202105)。

摘　　要：目的了解肿瘤科护士应对死亡工作自我能力现状并分析其影响因素。方法选取356名肿瘤科护士为研究对象,采用一般资料调查表、死亡工作自我能力量表、生命意义感量表、职业倦怠量表进行问卷调查。结果肿瘤科护士应对死亡工作自我能力得分为(57.83±8.75)分,情绪应对自我能力得分率最低。多元逐步回归分析显示,生命意义感、个人成就、葬礼经历、参与死亡/濒死患者照顾是否造成影响、死亡相关课程培训是其主要影响因素(均P<0.05)。结论肿瘤科护士应对死亡工作自我能力处于中等水平,影响因素较多,护理管理者需明确护士应对死亡工作中的需求,积极开展应对患者死亡工作相关培训。Objective To identify the level and determinants of self-competence in death work among oncology nurses.Methods A total of 356 oncology nurses were surveyed using a general information questionnaire,the Self-Competence in Death Work Scale,Meaning in Life Questionnaire,and Maslach Burnout Inventory.Results They scored(57.83±8.75)points on self-competence in death work,with the emotional subscale score being the lowest.Multiple linear regression showed that meaning in life,personal achievement,funeral experience,whether an impact had induced by participation in care of the newly dead and nearly dead patients,and death education were the main influencing factors(P<0.05 for all).Conclusion Self-competence in death work among oncology nurses is at a medium level and affected by several factors.Nursing managers should identify the needs of nurses and provide death education for them.

关 键 词：肿瘤科 护士 死亡工作 自我能力 生命意义感 职业倦怠 个人成就感 

分 类 号：R473.73[医药卫生—护理学] C931.3[医药卫生—临床医学]