湖南省某三甲医院护理人员安宁疗护态度及影响因素分析

Analysis of hospice care attitude and influencing factors of nurses in a third-class hospital in Hunan Province

目的调查某三甲医院护理人员对安宁疗护的态度现状,并分析其主要影响因素。方法采用便利抽样法,于2021年5月至6月,借助问卷星平台,使用一般人口学资料、医务人员安宁疗护态度量表,对某三甲医院1102名护理人员进行横断面调查。结果回收有效问卷1095份,有效回收率为99.36%。该三甲医院护理人员安宁疗护态度的总体得分为(88.13±11.36)分,标准化得分为70.50分,其中“安宁疗护提升生命质量方面的益处”维度得分最高,为(21.19±3.94)分,标准化得分为84.76分,“安宁疗护的障碍”维度得分最低,为(16.83±5.14)分,标准化得分仅为56.10分。多元线性回归分析结果显示,亲眼目睹临终患者死亡过程的经历及已经开展安宁疗护服务工作是安宁疗护态度的影响因素(P<0.05)。结论该三甲医院护理人员安宁疗护态度总体较为积极,普遍认同安宁疗护对提升患者生命质量有益,并认为安宁疗护工作的开展存在诸多障碍,其中症状管理困难是主要障碍。目睹临终患者死亡过程及开展安宁疗护工作的经历可对其安宁疗护态度产生正面影响。

Objective To investigate the current situation of nurses hospice care attitude in the third-class hospital and analyze its main influencing factors.Methods From May to June 2021,convenience sampling method was used to conduct a cross-sectional survey of 1102 nurses in the third-class hospital using general demographic data and hospice attitude scale of medical staff on the satellite questionnaire platform.Results 1095 valid questionnaires were collected with effective recovery of 99.36%.The overall score of hospice care attitude of nurses in the third-class hospital was(88.13±11.36),and the standardized score was 70.50,among them,the score of"benefits of hospice care in improving life quality"was the highest(21.19±3.94),the standardized score was 84.76,and the score of"obstacles to hospice care"was the lowest(16.83±5.14),and the standardized score was only 56.10.Multiple linear regression analysis showed that the experience of witnessing the death process of dying patients and hospice care have been carried out were the influencing factors of hospice care attitude(P<0.05).Conclusion The nurses in the third-class hospital generally have a positive attitude towards hospice care,generally agree that hospice care is beneficial to improve the quality of life of patients,and believe that there are many obstacles in the development of hospice care,among which the difficulty in symptom management is the main obstacle.The experience of witnessing the dying process of terminal patients and carrying out hospice care can positively influence their hospice care attitude.