住院老年患者对死亡的接受态度及其影响因素  

The Accepting Atritude toward Death Among Aged Hospitalized Patients and It's Influencing Factos

作　　者：董诗圆[1] 曹新妹[2] 董佩芳[3] 李慧文[3] 沈晓如[3] 金莉莉[4] 

机构地区：[1]复旦大学附属华山医院,上海200040 [2]上海市精神卫生中心,上海200030 [3]浙江大学医学院附属第二医院,浙江杭州310009 [4]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《上海护理》2004年第1期11-14,共4页Shanghai Nursing

摘　　要：目的 旨在了解住院老年患者对死亡的接受态度及其影响因素。方法 以住院老年患者为研究对象,使用《老年患者死亡态度调查表》进行调查。结果 住院老年患者对死亡接受持模糊态度的为70％,文化程度高、心理状态佳、有垂危患者接触史、有重病经历的患者对死亡持接受态度的比例高,分别为19.1％、36.0％、26.7％、28.6％;对谈论死亡持“尽量避免”态度的患者、患病较重、以及自我感觉身体状况较差的老年人更惧怕死亡。结论 临床有必要开展死亡教育势在必行;作为护士应在今后的工作中更多地了解老年患者对死亡的看法,根据不同的情况对老年患者进行死亡教育,提高其生活质量。Objective To recognize the acceptingattitude toward death among aged hospitalized patients and it's influencing factors. Methods The use of a questionnaire about attitude toward death among 60 patients. Results Our study indicated that 70% of patients had a misty idea toward death often being asked. Higher-acceptance rates were found among those with higher educational background, good mental status, history of having contact with terminally ill petierils, or experience of severe disease themselves. These were 19.1%, 36.0% ,26.7% and 28.6% respectively. More patients were found to be afraid of death among those who dared not to talk about death, suffered from severe diseases, or felt bad about their own health. Conclusion This study indicates that clinical education about death is severely lactod and death education is imperative. Our concerns are; recognition of the attitude toward death among aged hosphalizod patients by our nuses, and communication with their clients about death. As a consequence, aged patients can be better taken care of and their quality of life can be improved.

关 键 词：住院患者 老年 死亡 态度 影响因素 调查 护理 

分 类 号：R48[医药卫生—临床医学]