医学专业大学生对预立医疗照护计划的认知态度及制订意愿的影响因素研究  

Influencing factors of medical university students' awareness and attitude towards advance care planning

作　　者：刘敏 王跃琴 刘高巧 孙关 李国宏[4] 李丹丹 LIU Min;WANG Yueqin;LIU Gaoqiao;SUN Guan;LI Guohong;LI Dandan(Nursing Department,Yancheng First People's Hospital,Yancheng 224002,China;School of Nursing,Philippine Women's University,Manila 1004,Philippines;Science and Technology Division,Yancheng First People's Hospital,Yancheng 224002,China;Nursing Department,Zhongda Hospital Affiliated to Southeast University,Nanjing 210000,China;Nursing Faculty,Kangda College,Nanjing Medical University,Lianyungang 222000,China)

机构地区：[1]盐城市第一人民医院护理部,224002 [2]Philippine Women's University,School of Nursing,Manila 1004 [3]盐城市第一人民医院科技处,224002 [4]东南大学附属中大医院护理部,南京市210000 [5]南京医科大学康达学院护理系,连云港市222000

出　　处：《护理管理杂志》2022年第11期794-799,共6页Journal of Nursing Administration

基　　金：国家自然科学基金(81672499);盐城市医学科技发展计划项目(YK2017010)。

摘　　要：目的调查医学专业大学生对预立医疗照护计划的认知及态度情况并分析影响其制订预立医疗照护计划意愿的因素,为扩大预立医疗照护计划的服务范围,推广实施预立医疗照护计划提供参考。方法采用便利抽样法于2021年3月至5月使用预立医疗照护计划问卷对11所大学569名医学专业大学生进行网络问卷调查。结果393名(69.07%)医学专业大学生表示从没听说过预立医疗照护计划,但453名(79.61%)愿意在将来制订预立医疗照护计划。Logistic回归结果显示,性别、过去5年经历、是否听说过决策代理者、是否认为应在社区实施预立医疗照护计划是影响医学专业大学生制订预立医疗照护计划意愿的因素。结论我国医学专业大学生对预立医疗照护计划的知晓率低,但制订预立医疗照护计划的态度较为积极,高校应开设生死学相关课程,对医学专业大学生进行生命教育,提高医学专业大学生对生命及其存在价值的认识,从而提升其对患者的生命自主权的尊重。Objective To investigate the awareness and attitude of medical university students towards advance care plan(ACP)and analyze influencing factors affecting their willingness to participate in ACP.To provide reference for expanding the service scope of ACP and promoting the implementation of ACP.Methods A total of 569 medical university students from 11 universities were surveyed using the Advance Care Plan Questionnaire by convenience sampling from March to May 2021.Results A total of 393 participants(69.07%)had never heard of ACP,but 453 of them(79.61%)expressed their willingness to discuss ACP in the future.The result of the Logistic regression showed that gender,experience in the past 5 years,whether you have heard of a decision agent,and whether to implement ACP in community can affect the willingness to participate in ACP among medical university students.Conclusion The awareness of ACP among medical university students is low,but with a supportive attitude.Colleges and universities should establish life-and-death courses,provide life-and-death education for medical university students,improve their understanding of life and its existence value,and enhance their respect for patients'life autonomy.

关 键 词：预立医疗照护计划 医学专业大学生 护理 认知 态度 

分 类 号：R48[医药卫生—临床医学]