血液内科医护人员死亡认知现状与临终关怀态度调查结果分析  

Survey results analysis of death cognition and hospice attitude among healthcare providers in hematology department

作　　者：严志民 刘彦权 曾敏娟 陈晓君 张剑凯 殷悦[5] 沈建箴[5] 齐张华 Yan Zhimin;Liu Yanquan;Zeng Minjuan;Chen Xiaojun;Zhang Jiankai;Yin Yue;Shen Jianzhen;Qi Zhanghua(Department of Hematology,the First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China;Department of Hematology,the First School of Clinical Medicine,Guangdong Medical University,Dongguan 523808,China;Department of Anatomy,School of Basic Medicine,Guangdong Medical University,Dongguan 523808,China;Department of Hematology,Affiliated Hospital of Putian University,Putian 351100,China;Department of Hematology,Fujian Medical University Union Hospital(Fujian Institute of Hematology),Fuzhou 350001,China;the First School of Clinical Medicine,Guangdong Medical University,Zhanjiang 524023,China)

机构地区：[1]赣南医科大学第一附属医院血液内科,赣州341000 [2]广东医科大学附属东莞第一医院血液内科,东莞523808 [3]广东医科大学基础医学院解剖学教研室,东莞523808 [4]莆田学院附属医院血液科,莆田351100 [5]福建医科大学附属协和医院血液科(福建省血液病研究所),福州350001 [6]广东医科大学第一临床医学院,湛江524023

出　　处：《白血病.淋巴瘤》2025年第3期159-166,共8页Journal of Leukemia & Lymphoma

基　　金：广东省教育厅学位与研究生教育创新计划(2023JGXM_072);广东医科大学高等教育教学研究(2JY23021);广东医科大学社会科学重点基金(2022⁃SZZF001);2024年赣州市社科研究课题立项项目(2024⁃333)。

摘　　要：目的探讨血液内科医护人员的死亡认知现状及对于血液肿瘤患者的临终关怀态度。方法横断面调查研究。选取2024年3月至6月广东医科大学第一临床医学院、福建医科大学附属协和医院、莆田学院附属医院、赣南医科大学第一附属医院4家三甲教学医院血液内科198名医护人员为调查对象。采用一般社会学调查表调查血液内科医护人员的一般情况及背景资料;采用死亡态度描绘量表(中文版)调查血液内科医护人员的死亡认知现状;采用佛罗梅尔特临终关怀态度B量表(中文版)调查血液内科医护人员的临终关怀态度。比较医生、护士两类群体的调查结果。结果纳入本研究的血液内科医护群体中,医生105名,护士93名。本研究回收198份合格的一般社会学调查表;剔除6份不合格问卷,共回收192份死亡态度描绘量表和佛罗梅尔特临终关怀态度B量表。医生、护士的性别、学历、政治面貌、有无照顾临终者的经历比较,差异均有统计学意义(均P<0.05)。血液内科医生群体的死亡态度中趋近接受、中立接受、死亡逃避、死亡恐惧、逃离接受评分分别为(4.35±0.37)分、(4.03±0.51)分、(2.98±0.62)分、(2.54±0.29)分、(2.19±0.42)分,护士群体分别为(3.12±0.41)分、(3.89±0.46)分、(2.66±0.63)分、(2.81±0.57)分、(2.37±0.65)分,两组比较差异均有统计学意义(均P<0.05)。血液内科医生临终关怀态度总分为(108±15)分,护士为(116±13)分,差异有统计学意义(t=-3.61,P<0.001);医、护群体对恶性血液病患者的临终关怀态度总体趋近于积极与中立之间;护士群体更认同患者家属层面在临终关怀过程中的积极作用,医生群体则更认同医护人员在临终关怀和安宁疗护中的促进作用。不同职业、性别、年龄、原户籍地、家庭谈论死亡时情形,以及是否独生子女、是否有照顾临终者经历、是否自身患过重病、有无宗教信仰等血�Objective To investigate the current state of death cognition among healthcare providers in hematology department and their attitudes toward hospice care for patients with hematologic malignancies.Methods A cross-sectional investigation study was conducted.A total of 198 medical staff in hematology department of 4 teaching hospitals,including the First School of Clinical Medicine of Guangdong Medical University,Fujian Medical University Union Hospital,the Affiliated Hospital of Putian University and the First Affiliated Hospital of Gannan Medical University from March 2024 to June 2024 were selected as the investigation subjects.The general situation and background of medical staff in hematology department were investigated by using the"General Sociological Questionnaire"."Death Attitude Description Scale(Chinese version)"was used to investigate the status of death cognition among medical staff in hematology department."Frommelt Attitudes Toward Care of the Dying Scale Form B(Chinese version)"was used to investigate the hospice care attitude of medical staff in hematology department.The survey results of doctors and nurses were compared.Results There were 105 doctors and 93 nurses in hematology department included in this study.A total of 198 qualified"General Sociology Questionnaires"were collected.After excluding 6 unqualified questionnaires,192 copies of"Death Attitude Description Scale(Chinese version)"and"Frommelt Attitudes Toward Care of the Dying Scale Form B(Chinese version)"were collected.There were statistically significant differences in gender,educational background,political status and experience of taking care of terminally ill patients between doctors and nurses(all P<0.05).The scores of approaching acceptance,neutral acceptance,death escape,death fear and flight acceptance were(4.35±0.37),(4.03±0.51),(2.98±0.62),(2.54±0.29)and(2.19±0.42)points,respectively in the doctor group;the corresponding scores were(3.12±0.41),(3.89±0.46),(2.66±0.63),(2.81±0.57)and(2.37±0.65)points,respectively in

关 键 词：临终关怀医疗 医务人员 对死亡的态度 血液内科 

分 类 号：R47[医药卫生—护理学]