高职护生临终关怀态度与死亡态度现状及其相关性研究

Study on the Status and Correlation of Hospice Attitude and Death Attitude of Nursing Students in Higher Vocational Colleges

目的:了解高职护生临终关怀态度及死亡态度现状,分析两者的相关性,为开展死亡教育和临终关怀教育提供依据。方法:采用分层整群随机抽样方法,对南京市某高职院校713名护生进行问卷调查。结果:(1)护生临终关怀态度总分为124.72±9.126,个人忧虑态度得分为53.54±5.759,专业忧虑态度的得分为71.18±6.979。死亡恐惧得分为20.51±4.777,死亡逃避得分为15.29±3.197,自然接受得分为20.08±2.756,趋近接受得分为27.22±6.031,逃离接受得分为13.13±3.630。(2)高职护生临终关怀态度与死亡恐惧、死亡逃避、趋近接受三个维度具有一定的正相关,个人忧虑态度与死亡态度五个维度具有一定的正相关(P <0.05)。(3)死亡恐惧是影响高职护生临终关怀态度的主要因素。结论:护生临终关怀忧虑程度较高,死亡态度趋向于趋近接受,死亡态度对临终关怀态度有一定影响,需加强高职护生死亡教育和临终关怀教育,帮助其形成积极的死亡态度和临终关怀态度,从而提高临终关怀服务质量。

Objective:To investigate the status of attitudes towards hospice care and death of the nursing students in higher vocational colleges,and to analyze the relationship between them,so as to provide evidence for death education and hospice care education.Methods:By using stratified cluster sampling,a total of 713 nursing students were selected from one higher vocational college in Nanjing.A questionnaire survey was conducted among the students.Results:(1)The score of hospice care attitude in the nursing students was124.72±9.126;The score of personal worries of hospice care attitude was53.54±5.759;The score of professional anxiety of hospice care attitude was71.18±6.979.The score of death fear was20.51±4.777;The score of death escape was15.29±3.197;The score of natural acceptance was(20.08±2.756);The score of approaching acceptance was27.22±6.031;The score of escaping acceptance was(13.13±3.63).(2)Attitude towards hospice care was positively correlated with the dimension of death fear,death escape and approaching acceptance.Personal worries of hospice care attitude was positively correlated with five dimensions of attitude towards death(P<0.05).(3)Fear of death was the main factors influencing attitude towards hospice care of students in higher vocational colleges.Conclusions:The level of hospice care attitude in nursing students in higher vocational colleges is higher.Attitude towards death in nursing students tends to approaching acceptance.Death attitude has a certain impact on hospice attitude.It is necessary to strengthen the death education and hospice education in the nursing students to help them form a positive attitude to death and hospice care,so as to improve the quality of hospice care services.