老年病房护士预立医疗照护计划的知信行现状调查

An investigation on knowledge, attitude, practice of nurses at geriatric wards about advanced care planning

目的 :调查老年病房护士对预立医疗照护计划的认知、态度、行为状况并进行相关影响因素分析。方法:采用自设问卷,便利选取北京市三级甲等综合医院和老年专科医院的老年病房护士进行调查。结果 :老年病房护士知识得分正确率为84.0%,经历过丧亲以及接受过相关培训的护士知识掌握较好(P<0.05);调查对象对预立医疗照护计划的态度得分为(4.16±0.56)分,较高职称及护理过临终患者的护士所持态度更加积极(P<0.05);调查对象行为得分为(2.73±0.90)分,其中所在病房是老年专科护士培训基地和接受过相关培训的护士行为得分更高(P<0.05)。结论 :老年病房护士对预立医疗照护计划知识掌握较好,但仍可进一步提高,所持态度较积极,但工作中开展预立医疗照护计划的行为较少。

Objective： To investigate the knowledge, attitude, and practice of nurses at geriatric units toward advanced care planning, and analyze the corresponding influencing factors. Methods： 191 nurses working in geriatric wards of 5 tertiary hospitals and a geriatric specialized hospital were investigated by a self-designed questionnaire. Results： The average accuracy of nurses＇ knowledge about advanced care planning was 84.0%, and those who had experienced bereavement and received related training shown better knowledge （P〈0.05）. The average score of respondents＇ attitude toward advanced care planning was （4.16±0.56）. The attitudes of those nurses with higher professional titles and nurses who took care of the dying patients were more active （P〈0.05）. The average score of behaviors of respondents was （2.73±0.90）. And nurses who worked in geriatric wards being geriatric specialty training bases and nurses who had received relevant training scored higher in their behaviors. Conclusion： Nurses working in the geriatric wards have a relatively good master of the advanced care planning knowledge, for which, however, further improvement remains necessary. Positive as nurses＇ attitudes are,fewer advanced care planning behaviors are carried out in their practical work.