重症监护室护士对临终关怀护理认知态度及教育需求调查研究

Investigation on Cognitive Attitude and Educational Needs of Nurses in Intensive Care Unit toward Hospice Care Nursing

目的调查研究重症监护室护士对临终关怀护理认知态度及教育需求。方法选取2015年3月-2018年3月郑州大学附属儿童医院的144名重症监护室护士进行问卷调查,调查内容包括调查对象人口学资料,对临终关怀护理认知、态度及教育需求。结果重症监护室护士对临终关怀护理认知总均分为(6.20±1.28)分,平均正确率为54.09%;认为临终关怀护理是有必要的护士占87.50%,愿意参加临终关怀护理工作仅占32.64%;拥有护师及主管护师职称、本科及本科以上学历、工作时间超过4年、经历过临终或死亡患者的护士的临终关怀护理态度得分高于护士职称、专科学历、工作时间为1~4年、未经历过临终或死亡患者的护士,差异有统计学意义(P<0.05);多因素分析结果显示职称、学历、工作时间及是否经历过临终或死亡是护士的临终关怀护理态度得分的影响因素(P<0.05)。临终关怀护理的方法与内容、与临终患者家属的沟通方法的教育需求分数最高,死亡与濒死过程教育需求分数最低。结论重症监护室护士对临终关怀护理认知程度并不高,对临终关怀护理态度较为消极,愿意主动从事临终关怀护理工作的护士仅占少数,因此加强相关临床教育工作十分重要。

Objective To explore the cognitive attitude and educational needs of nurses in intensive care unit(ICU)toward hospice care nursing.Methods From March 2015 to March 2018,a questionnaire survey was conducted among 144 nurses in ICU,and the survey included the demographic data of surveyed subjects,as well as the cognition,attitude and educational needs of hospice care nursing.Results The total average cognition score of hospice care nursing was(6.20±1.28)points in nurses in ICU with an average correct rate of 54.09%.Nurses who considered hospice care nursing as the necessary accounted for 87.50%,but only 32.64%of nurses were willing to attend the hospice care work.The attitude toward hospice care scores of nurses with the title of senior nurse or supervisor nurse,undergraduate or higher education level,working for longer than 4 years,experiencing dying or death patients were higher than those with the title of nurse,college degree,working time between 1 and 4 years,not experiencing dying or death(P<0.05).The results of multivariate analysis showed that the title,education background,working time and whether they had experienced dying or death were the influence factors of nurses'attitude toward hospice care(P<0.05).The methods and contents of hospice care nursing and the communication methods of family members of dying patients were the highest,and the education need score of process of death and dying was the lowest.Conclusion The nurses in ICU are not very aware of hospice care nursing,and their attitude towards hospice care nursing is negative.The nurses who are willing to take active hospice care nursing are only in the minority.Therefore,it is very important to strengthen the relevant clinical education.