护理实习生死亡焦虑现状及影响因素分析  

Analysis on status and influencing factors of death anxiety in nursing interns

作　　者：木楠 杨娇 张晓璇[2] 张海怡 吴学智 孔丽丽[2] MU Nan;YANG Jiao;ZHANG Xiao-xuan;ZHANG Hai-yi;WU Xue-zhi;KONG Li-li(Second Clinical College,Guangzhou University of Chinese Medicine,Guangzhou Guangdong,510405,China;Department of Critical Care Medicine,Dade Road General Hospital,Guangdong Provincial Traditional Chinese Medicine Hospital,Guangzhou Guangdong,510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院大德路总院重症医学科,广东广州510120

出　　处：《职业与健康》2023年第10期1370-1376,共7页Occupation and Health

基　　金：广东省科技厅2021年海外名师;2021年度中医药高等教育学会临床教育研究会教育教学研究课题(2021016,2021013);2022年广东省研究生教育创新计划项目;长春中医药大学临床实践教学改革专项研究课题(XJLCSJ202143)。

摘　　要：目的 了解广州市3所三级甲等医院护理实习生(实习护生)死亡焦虑现状,探讨其影响因素,为改善实习护生死亡焦虑情绪,构建临床死亡教育课程提供参考。方法 2022年3—4月,以方便抽样法选取317名实习护生,采用死亡焦虑量表、调节聚焦量表、应对方式量表进行调查,并对数据进行分析。结果 广州市某3所三级甲等医院实习护生死亡焦虑得分为(44.97±8.90)分,促进聚焦得分为(13.90±3.11)分,预防聚集得分为(10.27±2.48)分,积极应对得分为(33.6±7.60)分,消极应对得分为(19.16±4.77)分。多元回归分析结果显示,经历照护患者死亡、参与患者临终尸体护理、调节聚焦水平和应对方式是死亡焦虑的主要影响因素(均P<0.05)。结论 广州市某3所三级甲等医院实习护生死亡焦虑处于较高水平,临床教学医院应重视对实习护生的死亡教育,积极探索影响死亡焦虑水平的相关因素,构建适合临床的死亡教育课程,缓解负面情绪,树立正确的生死观,为患者提供高质量护理。Objective To investigate the current situation of death anxiety of nursing interns in threegrade-A tertiary hospitals in GuangzhouCity of Guangdong Province,and explore its influencing factors,so as to provide a reference for improving the death anxiety of intern nursing students and constructing clinical death education courses.Methods From March to April 2022,317 intern nurses were selected by convenient sampling method,and investigated by the death anxiety scale,the adjustment focus scale,and the coping method scale.Results The death anxiety score of intern nursing students in threegrade-A tertiary hospitals in Guangzhou City of Guangdong Province was(44.97±8.90)points,the promotion focus score was(13.90±3.11)points,the prevention of aggregation score was(10.27±2.48)points,the positive copingscore was(33.6±7.60)points,and the negative coping score was(19.16±4.77)points.The multiple regression analysis showed that experiencing death in care of patients,participating in the care of patients'dying bodies,adjusting the level of focus and coping style were the main influencing factors of death anxiety(all P<0.05).Conclusion The death anxiety of nursing interns in threegrade-A tertiary hospitals in Guangzhou City of Guangdong Province is at a high level,and clinical teaching hospitals should attach importance to the death education of intern nursing students,actively explore relevant factors affecting the level of death anxiety,build a suitable clinical death education curriculum,alleviate negative emotions,establish a correct concept of life and death,and then provide patients with high-quality nursing.

关 键 词：护理实习生 死亡焦虑 影响因素 死亡教育 

分 类 号：R181.3[医药卫生—流行病学]