护理专业实习生对临终病人照护的态度调查及影响因素分析

Investigation Care Attitude of Dying Patients and Its Influencing Factors of Nursing Interns

目的为了调查护理专业实习生对临终病人照护的态度及分析其影响因素,为死亡教育课程的开展提供依据。方法采用照护临终病人态度量表和护理专业实习生一般资料问卷对江苏省8所教学医院357名护理专业实习生进行调查,并分析其影响因素。结果护理专业实习生照护临终病人的态度总分为101.75±8.10分。家庭中谈论死亡的气氛、学历、有无接触过临终病人、有无亲历亲友去世、有无接受过死亡教育能解释照护临终病人态度总变异的23.2%,回归系数分别为0.214,0.125,0.115,0.075和0.059。结论家庭中谈论死亡的气氛、学历、有无接触过临终病人、有无亲历亲友去世、有无接受过死亡教育是影响护理专业实习生照护临终病人态度的主要因素,在实习前应该根据已知的影响因素合理设置死亡教育课程。

Objective To investigate the nursing interns'attitude toward care of dying patients and its influencing factors,so as to provide the evidence for the design of death education program.Methods A total of 357 nursing interns in 8 teaching hospitals in Jiangsu were investigated with questionnaire and the influencing factors were analyzed by the Frommelt Attitude Toward Care of Dying(FATCOD)and general questionnaire.Results The total score of nursing interns'attitude to taking care of the dying patients was(101.75±8.10).Multiple linear regression analysis showed that atmosphere of talking about the death with family members,educational background,experience in care of dying patients,suffering of losing relatives or friends,previous education on death could explain the total variance of 23.2%(B=0.214,0.125,0.115,0.075,0.059)for taking care of dying patients.Conclusion Though the nursing students have a positive attitude towards caring for the dying patients,atmosphere of talking about the death with family members,educational background,experience in care of dying patients,suffering of losing relatives or friends,previous education on death are influencing factors of attitude toward caring for dying patients.The death education curriculum course involving above factors should be carried out before students'clinical practice.