本科实习护生死亡态度和生命意义感对安宁疗护态度影响的路径分析  

Path analysis of effects of death attitude and purpose in life on attitude toward hospice care of undergraduate intern nursing students

作　　者：宇寰[1] 胡燕[1] 王路 朱宇 宋江艳 高雨霏 郁贤竹 张子姚 Yu Huan;Hu Yan;Wang Lu;Zhu Yu;Song Jiangyan;Gao Yufei;Yu Xianzhu;Zhang Ziyao(Teaching and Research Office for Fundamental Nursing,School of Nursing,Anhui Medical University,Hefei 230601,China;Teaching and Research Office for Health and Rehabilitation Nursing,Department of Clinical Nursing,School of Nursing,Anhui University of Chinese Medicine,Hefei 230012,China;Clinical Teaching and Research Office,Department of Nursing,School of Clinical Medicine,Anhui Medical University,Hefei 230031,China)

机构地区：[1]安徽医科大学护理学院基础护理学教研室,合肥230601 [2]安徽中医药大学护理学院临床护理系健康与康复护理学教研室,合肥230012 [3]安徽医科大学临床医学院护理系临床教研室,合肥230031

出　　处：《中华现代护理杂志》2024年第7期848-854,共7页Chinese Journal of Modern Nursing

基　　金：2023年度安徽省高校哲学社会科学重点研究项目(2023AH050523);2023年度安徽省大学生创新创业训练项目(S202310366074);2021年安徽医科大学护理学院科研培育项目(hlpy20210017)。

摘　　要：目的:探讨本科实习护生死亡态度和生命意义感对安宁疗护态度的影响路径。方法:本研究为横断面研究。采用便利抽样法,于2022年10?-12月选取安徽省合肥市2所学校的229名本科实习护生为研究对象。采用一般资料调查表、中文版佛罗梅尔特临终关怀态度B量表、中文版死亡态度描绘量表、中文版生命意义感量表对本科实习护生进行问卷调查。采用Pearson相关分析探讨本科实习护生死亡态度、生命意义感、安宁疗护态度的相关性,并运用结构方程模型检验死亡态度、生命意义感对安宁疗护态度影响的路径关系。结果:本研究共发放问卷229份,回收有效问卷214份,问卷有效回收率为93.45%(214/229)。214名本科实习护生中文版佛罗梅尔特临终关怀态度B量表得分为(101.06±8.16)分、中文版死亡态度描绘量表得分为(91.21±12.13)分、中文版生命意义感量表得分为(94.45±11.90)分。Pearson相关分析结果显示,生命意义感与安宁疗护态度呈正相关( r=0.290, P<0.01),死亡态度与安宁疗护态度呈负相关( r=-0244, P<0.01)。结构方程模型路径分析结果显示,生命意义感(生活目标、生活态度)可通过死亡态度(逃离接受、自然接受、死亡恐惧)影响安宁疗护态度。 结论:对本科实习护生的生命意义感及死亡态度进行有效干预能够改善其安宁疗护态度。ObjectiveTo explore the effect path of death attitude and purpose in life on attitude toward hospice care of undergraduate intern nursing students.MethodsThis study was a cross-sectional study.Using the convenient sampling method,a total of 229 undergraduate intern nursing students from two schools in Hefei,Anhui Province were selected as the research objects from October to December 2022.General data questionnaire,Chinese Version of Frommelt Attitudes Toward Care of the Dying Scale Form B(FATCOD-B-C),Chinese Version of Death Attitude Profile-Revised(DAP-R)Scale and Chinese Version of Purpose in Life Test(PIL-C)were used to investigate.Pearson correlation analysis was used to explore the correlation between death attitudes,purpose in life and attitude toward hospice care among undergraduate intern nursing students.Structural equation model was used to examine the path relationship between attitude towards death and purpose in life on attitude toward hospice care.ResultsA total of 229 questionnaires were sent out in this study,and 214 were effectively recovered,with an effective recovery rate of 93.45%(214/229).Among 214 undergraduate intern nursing students,the scores of FATCOD-B-C,Chinese Version DAP-R Scale,and PIL-C were(101.06±8.16),(91.21±12.13)and(94.45±11.90),respectively.The results of Pearson correlation analysis showed that the purpose in life was positively correlated with attitude toward hospice care(r=0.290,P<0.01),while the attitude to death was negatively correlated with attitude toward hospice care(r=-0244,P<0.01).The results of structural equation model path analysis showed that the purpose in life(life goal,life attitude)can affect attitude toward hospice care through death attitude(escape acceptance,natural acceptance,fear of death).ConclusionsEffective interventions on purpose in life and attitude towards death of undergraduate intern nursing students can improve their attitudes toward hospice care.

关 键 词：学生 护理 安宁疗护态度 死亡态度 生命意义感 死亡恐惧 逃离接受 

分 类 号：G642.44[文化科学—高等教育学] R47-4[文化科学—教育学]