护理本科实习生对死亡和临终关怀的态度现状及其相关性  

Current situation and correlation study on the attitudes of undergraduate nursing interns towards death and hospice care

作　　者：刘卓妍 韩晓红[1] 赵莹 王心茹 范秋实 宋淑芬[1] LIU Zhuoyan;HAN Xiaohong;ZHAO Ying;WANG Xinru;FAN Qiushi;SONG Shufen(Shenzhen Second People's Hospital,Shenzhen,Guangdong,518035,China;Peking University Shenzhen Hospital,Shenzhen,Guangdong,518036,China)

机构地区：[1]深圳市第二人民医院,广东深圳518035 [2]北京大学深圳医院,广东深圳518036

出　　处：《中西医结合护理(中英文)》2025年第2期161-164,共4页Journal of Clinical Nursing in Practice

摘　　要：目的调查护理本科实习生对死亡和临终关怀的态度现状,分析影响临终关怀态度的因素以及两者之间的相关性。方法选取2022年7月至2023年6月期间在深圳市第二人民医院实习的191名护理本科生为调查对象,采用一般资料调查问卷、中文版死亡态度描绘量表、中文版佛罗梅尔特临终关怀态度B量表展开调查,通过多元线性回归分析模型归纳护理本科实习生临终关怀态度的影响因素,并通过Pearson相关性分析探究死亡态度与临终关怀态度之间的相关性。结果护理本科实习生的临终关怀态度总分为93.02±8.43分;死亡态度的各维度均分由高到低依次为自然接受3.86±0.81分、死亡恐惧3.27±0.99分、逃离接受3.27±0.95分、死亡逃避3.26±0.96分、趋近接受3.14±0.94分。多元线性回归分析显示,是否愿意照护临终患者、以往接受临终关怀相关教育经历均是护理本科实习生临终关怀态度的影响因素(P均<0.05);Pearson相关性分析显示,临终关怀态度与死亡态度各维度均存在一定的相关性(r=-0.385~0.208,P均<0.05)。结论护理本科实习生对待死亡的态度比较积极,倾向于自然接受;而临终关怀态度的积极性处于中等水平,还有待提高。两者互呈相关性,提示院校及医院在培养护理本科实习生时应加强死亡及临终关怀的相关教育。Objective To investigate the attitudes of undergraduate nursing interns towards death and hospice care,and to analyze the factors affecting their attitudes towards hospice care,as well as the correlation between the two attitudes.Methods A total of 191 undergraduate nursing interns who worked at Shenzhen Second People's Hospital from July 2022 to June 2023 were selected as the study subjects.The study was conducted using the general information questionnaire,the Chinese version of the Death Attitude Profile-Revised,and the Chinese version of the Frommelt Attitude Toward Care of the Dying Scale.Multiple linear regression analysis was used to summarize the factors affecting attitudes of undergraduate nursing interns towards hospice care,and Pearson correlation analysis was used to explore the correlation between death attitudes and hospice care attitudes.Results The total score of hospice care attitudes of undergraduate nursing interns was 93.02±8.43 points.The mean scores for each dimension of death attitudes,ranging from high to low,were as follows:neutral acceptance 3.86±0.81 points,fear of death 3.27±0.99 points,escape acceptance 3.27±0.95 points,death avoidance 3.26±0.96 points,and approach acceptance 3.14±0.94 points.Multiple linear regression analysis showed that willingness to care for terminally ill patients and previous educational experiences related to hospice care were both influencing factors of the hospice care attitudes in undergraduate nursing interns(P<0.05).Pearson correlation analysis demonstrated a certain correlation between hospice care attitudes and various dimensions of death attitudes(r=-0.385~0.208,P<0.05).Conclusion Undergraduate nursing interns have relatively positive attitudes towards death and tend to adopt neutral acceptance,while their enthusiasm concerning attitudes towards hospice care is at a moderate level and still needs to be improved.The correlation between them suggests that universities and hospitals should strengthen the relevant education on death and hospice care

关 键 词：护理本科实习生 死亡态度 临终关怀态度 相关性 

分 类 号：R47[医药卫生—护理学]