安宁共照模式下护士安宁疗护态度与实践能力的调查分析  

Investigation and analysis of nurses’attitudes and practical abilities towards palliative care under the peaceful co care mode

作　　者：沈小英[1] 周幸 钱微佳 刘卉 梁冠冕[1] SHEN Xiaoying;ZHOU Xing;QIAN Weijia;LIU Hui;LIANG Guanmian(Zhejiang Cancer Hospital,Hangzhou Medical Research Institute,Chinese Academy of Sciences,Hangzhou 310022,China)

机构地区：[1]浙江省肿瘤医院//中国科学院杭州医学研究所,浙江杭州310022

出　　处：《现代医院》2025年第3期400-403,408,共5页Modern Hospitals

基　　金：浙江省医药卫生科技项目(2025KY743、2025KY689)。

摘　　要：目的调查浙江省三级甲等肿瘤专科医院安宁共照模式下护士安宁疗护态度和实践能力现状及其相关影响因素,为管理者探索更行之有效的安宁疗护支持提供参考。方法采用便利抽样法,选取浙江省肿瘤医院的278名临床护士作为研究对象。于2024年6-8月采用一般资料调查表、安宁疗护态度量表、安宁疗护自评实践量表对护士进行问卷调查,并分析影响实践能力的相关因素及态度与实践能力之间的相关性。结果278名安宁共照模式下护士的安宁疗护态度得分(88.43±12.01)分,条目均分(3.54±0.48)分。安宁疗护实践能力量表总分(61.87±12.42)分,条目均分(3.64±0.73)分。护士的年龄、学历、以往照护终末期患者及其家属的经历、安宁疗护工作胜任力自评是护士实践能力得分的主要影响因素(均P<0.05)。临床护士安宁疗护实践能力得分与安宁态度得分存在正相关,相关系数r=0.176,P<0.05。结论安宁共照模式下浙江省三级甲等肿瘤专科医院护士安宁疗护态度处于中等偏上水平,护士安宁疗护实践能力有待进一步提高,护士安宁疗护态度越高,护士安宁疗护实践能力强。护理管理者应通过开展专业培训,促进护理人员安宁疗护态度,以提升护士安宁疗护实践能力。Objective To investigate the current situation of the attitude and practical ability of hospice care in the tertiary cancer hospital of Zhejiang Province,so as to provide reference for managers to explore more effective hospice care support.Methods Using convenience sampling selected 278 clinical nurses from Zhejiang Cancer Hospital.From June to August 2024,the general data questionnaire,hospice care attitude scale and self-assessment practice scale of hospice care were used to survey nurses with questionnaires,and the related factors affecting practical ability and the correlation between attitudes and practical ability were analyzed.Results The hospice attitude score of 278 nurses in the hospice co-photography mode was(88.43±12.01),and the average score of entries was(3.54±0.48).The total score of the hospice Practical ability scale was(61.87±12.42),and the average score of the items was(3.64±0.73).Nurses’age,education background,previous experience in caring for end-stage patients and their families,and self-assessment of competence in hospice care were the main influencing factors of nurses’practical ability score(all P<0.05).There was a positive correlation between clinical nurses’practice ability score and hospice attitude score,the correlation coefficient r=0.176,P<0.05.Conclusion Under the mode of hospice co-care,the attitude of nurses in Zhejiang Province is above the middle level,and the practical ability of nurses needs to be further improved,the higher the attitude of nurses,and the nurses’practical ability of hospice care is strong.Nursing managers should carry out professional training to promote the attitude of nursing staff,so as to improve the practical ability of nurses in hospice care.

关 键 词：安宁疗护 安宁共照 生命末期患者 态度 实践能力 调查分析 

分 类 号：R192.6[医药卫生—卫生事业管理]