长春市医务人员对患者安宁疗护的态度调查

Investigation of Medical Staff’s Attitude Towards Patients' Hospice Care in Changchun City

目的:了解医务人员对安宁疗护的态度及影响因素。方法:采用分层抽样的方法对长春市710名医护人员进行自编问卷调查。结果:长春市医务人员支持患者选择安宁疗护的为56.9%;医务人员所在的医院级别、文化程度等8个方面与是否支持患者选择安宁疗护存在关联(P均<0.05));Logistic回归分析显示,对从事安宁疗护工作人文关怀能力重要性认知、对患者权利重要性评价和文化程度是影响医务人员支持患者选择安宁疗护的主要因素。结论:医务人员对安宁疗护理念的接受度不高与安宁疗护相关课程及培训体制不健全有关,医务人员更关注患者的自主决定权。

Objective:To understand the medical staff’s attitude for patients'choice about hospice care and influence factors.Methods:The stratified sampling method has been used to conduct a questionnaire survey among 710 medical staffs in Changchun city.Results:Changchun medical group support patients to choose hospice care for dying accounted for 56.9%.There was a correlation between the hospital level and education level of medical staff and their willingness to support patients in choosing tranquil care(all of above P<0.05).The results of logistic regression analysis showed that cognition of the importance of humanistic care ability in hospice care work,evaluation of the importance of patients'rights and education level were the main factors affecting medical staff to support patients in choosing hospice care.Conclusion:The acceptance of the concept of tranquil care by medical staff is not high,which is relevant to the imperfect curriculum system and training system of hospice care.The medical staff attach more importance to the patient's autonomous decision-making power.