影响护士姑息护理自我效能的相关因素分析

Analysis of related factors influencing nurses＇self-efficacy for palliative care

目的探讨影响护士实施姑息护理的自我效能的相关因素。方法应用自填式结构问卷收集资料，利用立意抽样方法进行问卷调查。研究对象为河南省2所综合三甲医院的临床护士260人。结果护士对于实施姑息护理的自我效能总体处于不均衡状态，其中对“身体照护行为”自我效能平均得分4．00分，对“家属的照护行为”自我效能平均得分3．85分，“心理与精神护理”自我效能平均得分3．70分；对待死亡的不同态度的护士的姑息护理自我效能有显著差异；护士对姑息护理的认知水平、护理终末期患者过去行为经验与自我效能均成正相关。结论影响护士姑息护理自我效能的主要因素为对姑息护理的认知水平、护理终末期患者的过去行为经验和对待死亡的态度。

Objective To explore the nurses＇self-efficacy for palliative care and its related factors. Methods Data were collected via a self-constructed questionnaire ,using the purposive sampling method. Subjects were nurses from two ＂grade-A＂ general hospitals in Henan province. Results The nurses＂ self-efficacy for palliative care stayed at a disequilibrium state, mean score of self-efficacy for physical care was 4.00,followed by family care self-efficacy 3.85,then psychological and spiritual care self-efficacy 3.70. Significant difference existed in self-efficacy for palliative care in nurses having different atti- tudes toward death. The cognitive level for palliative care, past experience of caring for end-stage patients were positively correlated with self-efficacy. Conclusions The main factors of the nurses＇ self-efficacy for palliative care related to attitudes toward death, past experience of caring for end-stage patients and the cognition level of nurses to palliative care.