上海市护士姑息护理知识的现状调查与原因分析

Investigation and analysis on status quo of grasping knowledge about palliative nursing of nurses in Shanghai

目的 调查分析上海市护士姑息护理知识掌握现状,找出护理人员姑息护理知识结构上存在的问题,针对存在的主要问题提出相应建议.方法 应用Ross等研制的姑息护理知识问卷（PCQN）,利用整群抽样方法对上海市9所医院973名护士进行问卷调查.结果 最终939名护士完成调查.PCQN评分为（8.88±2.51）分.上海市护士对姑息护理知识掌握情况不尽如人意,护士在姑息护理的哲理与原则[维度1,（0.376±0.009）分]、心理社会和精神支持[维度3,（0.310±0.008）分]两方面的知识较薄弱,对疼痛和症状控制方面的掌握程度[维度2,（0.496±0.005）分]优于其他两方面,维度1与维度2、3比较,t=-1 1.787、5.465,P＜ 0.01;维度2与维度3比较,t=19.673,P＜0.01.结论 教育和培训的缺乏、相关机构重视不够及传统观念的限制造成了护士姑息护理知识结构的缺陷.

Objective To investigate and analyse the status and influential factors of nurses＇ palliative care knowledge in Shanghai city.Methods Using cluster sampling method,a questionnaire survey using Palliative Care Quiz for Nursing （PCQN） was conducted on 973 nurses in 9 hospitals of Shanghai city.Results 939 nurses completed the survey whose scores were 8.88±2.51.The status quo of palliative care knowledge of Shanghai nurses were not very desirable.The scores of palliative care philosophy and principles and psychological,social and spiritual support were 0.376±0.009 and 0.310±0.008.The scores of knowledge of the pain and symptomcontrol was 0.496±0.005,which was better than the other two aspects.There were differences between dimension 1 and dimension 2,3 （t=-1 1.78,5.465,P〈0.01）,and also between dimension 2 and 3 （t=19.673,P〈0.01）.Conclusions Lacking of education and training,insufficient recognition of related institutions and the limit of traditional ideas caused the defect in the knowledge structure of palliative nursing.