护理人员预立医疗照护计划知信行现状及对策分析

Knowledge-attitude-practice and counter-measures of Advance Care Planning among nurses

目的:调查护理人员的预立医疗照护计划知信行现状及分析相关影响因素及对策。方法:采用便利抽样方法,使用电子问卷的形式调查来自全国的1036名护理人员。结果:护理人员的预立医疗照护计划知识得分为(6.16±2.34)分,92.7%的护理人员对预立医疗照护计划的开展持支持态度,预立医疗照护计划各条目的参与率均在30.0%以下;影响护理人员预立医疗照护计划知识了解程度的因素是学历、半年内照顾临终患者例数、处理死亡经验;影响护理人员预立医疗照护计划行为的是半年内照顾临终患者的例数、态度、年龄、知识、学历。结论:我国护理人员对预立医疗照护计划的支持率很高,但预立医疗照护计划知识匮乏,参与率也较低;应采取培训等措施,使护理人员为ACP在我国的推行做好充足准备。

Objective: To investigate the knowledge, attitude and practice of Advance Care Planning(ACP) among nurses and explore the influencing factors. Methods: E-questionnaires were delivered to 1036 nurses from all over the country by conventional sampling. Results: The score of knowledge of ACP among nurses was 6.16±2.34. And 97.2% of nurses were in favor of ACP, but the participation rate of each item of ACP was below 30.0%. The influencing factors of ACP knowledge among nurses were education, the number of terminal patients caring for within 6 months, and the experience dealing with deaths. And influencing factors of ACP practices were the number of terminal patients caring for within 6 months, attitude, age, knowledge, and education. Conclusion: The approval rating for ACP among nurses in China is very high, but the knowledge and participation rate are low. Interventions such as relevant training are needed to prepare the nursing staffs for the implementation of ACP in China.