安宁疗护护理质量与护士知识和态度的相关性研究  

A study of the correlation between quality of care and knowledge and attitudes in nurse hospice care

作　　者：赖丹琪 谭玉琴 龚小华 田春霞 奚玉向[1] 陈丽敏 李丽蓉 陈世丽[1] Lai Danqi;Tan Yuqin;Gong Xiaohua;Tian Chunxia;Xi Yuxiang;Chen Limin;Li Lirong;Chen Shili(Abdominopelvic Oncology,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China;Nursing Department,the Second People’s Hospital of Xiangzhou,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院腹盆部肿瘤科,珠海519000 [2]珠海市香洲区第二人民医院护理部,珠海519000

出　　处：《中国肿瘤临床与康复》2025年第1期32-41,共10页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的从护士的角度分析安宁疗护护理质量的现状,探讨安宁疗护护理质量与护士知识和态度的关系。方法采用便利抽样法,于2023年6—8月在中山大学附属第五医院选取279名护士作为研究对象,以护士姑息护理认知现状调查问卷(PCQN)、佛罗梅尔特临终关怀态度量表B(FATCOD-B)和安宁疗护护理质量量表(PNCQS)进行问卷调查,探讨PNCQS与PCQN和FATCOD-B得分的关系。采用单因素和多元线性回归分析影响护士安宁疗护护理质量的因素。结果279名护士中,男26名,女253名;年龄20~55岁,其中年龄≤25岁62名(22.2%),26~34岁130名(46.6%),≥35岁87名(31.2%)。279名护士的PCQN得分为(13.44±3.76)分,FATCOD-B得分为(103.54±11.74)分,PNCQS得分为(74.25±14.16)分。单因素分析结果显示,护士的性别、层级、工龄、是否听说过安宁疗护、是否接受过安宁疗护相关培训、是否组织开展过安宁疗护教育、是否有参与安宁疗护的经历、所在科室是否实施过安宁疗护、现科室是否有必要开展安宁疗护、是否有安宁疗护培训的需求、学习安宁疗护知识的频率与PNCQS得分有关(均P<0.05)。279名护士的FATCOD-B和PCQN得分均与PNCQS得分呈正相关(r=0.353,P<0.001;r=0.203,P=0.001)。多元线性回归分析结果示,FATCOD-B中针对临终关怀患者利益的态度、针对患者家属关怀的态度、针对家属支持必要性的态度,PCQN中姑息护理哲理与原则,是否听说过安宁疗护及学习安宁疗护知识的频率是护士安宁疗护护理质量的主要影响因素(均P<0.05)。结论目前护士安宁疗护护理质量有待进一步提升,针对临终关怀患者利益的态度、针对患者家属关怀的态度、针对家属支持必要性的态度、姑息护理哲理与原则、是否听说过安宁疗护及学习安宁疗护知识的频率是护士安宁疗护护理质量的主要影响因素。Objective To analyze the current state of palliative care nursing quality from the perspective of nurses and explores the relationship between palliative care nursing quality and nurses'knowledge and attitudes.Methods A convenience sampling method was used to select 279 nurses from the Fifth Affiliated Hospital of Sun Yat-sen University between June and August 2023.Data were collected through questionnaires,including the Palliative Care Knowledge Questionnaire(PCQN),the Fothergill's Attitudes Toward End-of-Life Care Scale B(FATCOD-B),and the Palliative Care Nursing Quality Scale(PNCQS).The relationship between PNCQS scores and PCQN and FATCOD-B scores was examined.Univariate and multiple linear regression analyses were performed to identify factors influencing nurses'palliative care nursing quality.Results Among the 279 nurses,26 were male and 253 were female.The ages ranged from 20 to 55 years,with 62 nurses(22.2%)aged≤25,130 nurses(46.6%)aged 26~34,and 87 nurses(31.2%)aged≥35.The mean scores were 13.44±3.76 for PCQN,103.54±11.74 for FATCOD-B,and 74.25±14.16 for PNCQS.Univariate analysis showed that nurses'gender,level,years of service,awareness of palliative care,experience with palliative care training,involvement in palliative care education,participation in palliative care,department implementation of palliative care,perceived need for palliative care in the current department,the demand for palliative care training and frequency of learning palliative care knowledge were all significantly associated with PNCQS scores(all P<0.05).Both FATCOD-B and PCQN scores were positively correlated with PNCQS scores(r=0.353,P<0.001;r=0.203,P=0.001).Multiple linear regression analysis identified that attitudes toward the interests of end-of-life patients,attitudes toward caring for patients'families,attitudes toward the necessity of family support,palliative care philosophy and principles,awareness of palliative care,and frequency of learning palliative care knowledge were the main factors influencing nurses'pallia

关 键 词：护士 安宁疗护 护理质量 知识 态度 相关性 

分 类 号：R47[医药卫生—护理学]