ICU护士告知坏消息能力现状及其影响因素分析  

Status and influencing factors of ICU nurses'ability to communicate bad news

作　　者：韩未来 黄琼 旷丽平 王玉英 HAN Weilai;HUANG Qiong;KUANG Liping;WANG Yuying(Department of Neurosurgery,Changsha Hospital of Traditional Chinese Medicine(Changsha Eighth Hospital),Changsha,410100,China)

机构地区：[1]长沙市中医医院(长沙市第八医院)神经外科,长沙市410100 [2]长沙市中医医院(长沙市第八医院)护理部,长沙市410100

出　　处：《中国护理管理》2025年第2期271-276,共6页Chinese Nursing Management

基　　金：长沙市中医医院(长沙市第八医院)2023年度院级科研项目。

摘　　要：目的:调查ICU护士告知坏消息能力的现状并分析其影响因素,为提高ICU护士的告知坏消息能力提供参考依据。方法:于2023年7月—9月,采用便利抽样法选取湖南省长沙市、株洲市、常德市3个地区,共8所县级及以上级别医院的358名ICU护士为研究对象,采用一般资料调查表、护理人员告知坏消息能力量表、情绪智力量表、死亡态度描绘量表进行问卷调查,采用多元线性回归分析ICU护士告知坏消息能力的影响因素。结果:ICU护士告知坏消息能力总分为(72.57±15.12)分,多元线性回归分析结果显示,情绪智力、从事护理工作的年限、是否会讨论死亡的相关问题、所在医院是否开展过死亡教育进入回归方程(P<0.05),共解释ICU护士告知坏消息能力总变异的33.9%。结论:ICU护士告知坏消息能力处于中等偏上水平。护理管理者应根据ICU护士特征制定相应制度与措施、适当加大死亡教育的培训力度,护士也应进一步提升自我情绪智力,从而提高ICU护士的告知坏消息能力,推动卓越护理的发展。Objective:To investigate the status and influencing factors of ICU nurses'ability to communicate bad news.Methods:From July to September 2023,a total of 358 ICU nurses from 8 county-level and above hospitals in Hunan province were selected by convenient sampling method.They were investigated by general data questionnaire,communicating bad news ability scale,emotional intelligence scale and death attitude description scale.Results:The total score of the ICU nurses'ability of communicating bad news was 72.57±15.12.The results of multiple linear regression analysis showed that emotional intelligence,years of working,discussion of death related issues,and death education were included in the regression equation model(P<0.05),which accounted for 33.9%of the total variation.Conclusion:The ability of ICU nurses to communicate bad news was at a good level.Nursing managers should develop the corresponding regulations and interventions according to ICU characteristics and appropriately strengthen the training of death education.Nursing staff should further improve their emotional intelligence to increase the ability to communicate bad news and promote the development of excellent nursing.

关 键 词：重症医学科 护士 告知坏消息能力 情绪智力 死亡态度 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]