对医护人员姑息治疗认知程度的调查

Investigation on palliative care cognition of medical workers

目的了解我国医护人员对姑息治疗的认知程度，为医护职业教育及终末期患者治疗提供依据。方法2011年1—3月采用随机抽样的方法，通过自制调查问卷对山东省、河南省、湖北省、安徽省、陕西省等地区不同级别的7家医疗机构的280名医护人员对姑息治疗的认知情况进行调查。结果共发放问卷280份，回收有效问卷269份，有效回收率为96．1％。不同工作内容、年龄、工作年限及所在科室均对医护人员的姑息治疗认知不同，其中医生、年龄为36～45岁、工作年限为10年以上的医护人员认知度较高，得分分别为（25．81±5．51），（26．88±4．40），（26．23±4．92）分；而护理人员、年龄在25岁以下、工作年限5年以下及外科的医护人员的对姑息治疗的认知度较低，得分分别为（22．25±6．31），（23．68±6．56），（23．57±5．78），（22．55±6．49）分。各组得分比较，差异具有统计学意义（F值分别为6．989，3．961，5．877，2．677；P〈0．01）。结论需要加强医护工作者，特别是护理人员的姑息治疗教育，为患者提供更加合理的医疗服务。

Objective To investigate the palliative care cognition of medical workers and provide evidence for medical worker＇ s vocational education and treatment of patients with end-stage. Methods 280 medical workers from seven different hospitals in five provinces were surveyed with self-designed questionnaire of their palliative care cognition from January to March 2011. Results 280 questionnaires were handed out and 269 were recovered, with the recovery rate of 96.1%. The palliative care cognition of medical workers was affected by work type, age, working years, and working departments. Doctors and medical workers with age between 36 and 45 years old and working years more than 10 years had higher palliative care cognition, and the scores were respectively （25.81 ±5.51 ）, （26.88 ± 4.40） and （ 26.23± 4.92 ）. Nurses, medical workers with age under 25 years old, working years less than 5 years and in surgical department had lower palliative care cognition, and the scores were respectively （22.25 ± 6.31 ）, （ 23.68 ± 6.56）, （ 23.57 ± 5.78 ）, （ 22.55 ± 6.49）. The differences were statistically significant （ F = 6. 989,3. 961,5. 877,2. 677, respectively; P 〈 0.01 ）. Conclusions Education of palliative care for medical workers, especially for nurses, is needed to provide high quality medical service for patients.