广州市荔湾区社区医护人员临终关怀知信行现状及影响因素研究

Study on KAP status and influencing factors of hospice care among community medical staff in Liwan District of Guangzhou City

目的:了解广州市社区医护人员临终关怀知信行现状及影响因素,为社区医疗机构针对社区医护人员开展临终关怀工作提供依据。方法:于2021年1月-3月便利抽取广州市荔湾区400名社区医护人员对临终关怀知信行现状及可能的影响因素进行调查。资料使用SPSS统计软件进行分析。结果:临终关怀知识总分标准分(70.29±14.01)分,态度总分标准分(81.06±12.43)分,行为总分标准分(76.50±14.17)分。Pearson相关分析,知识与态度、知识与行为、态度与行为呈正相关。多元线性回归分析结果,学历、职称、是否诊治/护理过临终患者是临终关怀知识的影响因素,标准偏回归系数分别为0.176、0.104、0.302;职业,近5年家中是否有重病成员,临终关怀知识总分是临终关怀态度的影响因素,标准偏回归系数分别为0.101、0.134、0.196;是否诊治/护理过临终患者、临终关怀知识总分、临终关怀态度总分是临终关怀行为的影响因素,标准偏回归系数分别为0.165、0.199、0.277。结论:广州市社区医护人员知信行处于中等水平,临终关怀知识、行为水平有待提高。

Objective:To investigate the KAP status and influencing factors of hospice care among community medical staff in Guangzhou City.Methods:In January 2021,400 medical staff in Liwan District of Guangzhou City were conveniently selected and investigated.Data were analyzed by SPSS statistical software.Results:The total standard score of hospice care knowledge was(70.29±14.01),the total standard score of attitude was(81.06±12.43),and the total standard score of behavior was(76.50±14.17).Pearson correlation analysis showed that knowledge and attitude,knowledge and behavior,attitude and behavior were positively correlated.The results of multiple linear regression analysis showed that education background,professional title,diagnosis and treatment/care of dying patients were the influencing factors of hospice care knowledge,and the standard partial regression coefficients were 0.176,0.104,and 0.302,respectively.Occupation,whether there were serious illness members in the family in recent 5 years,the total score of hospice care knowledge were the influencing factor of hospice attitude,and the standard partial regression coefficients were 0.101,0.134,0.196,respectively.Whether patients had been diagnosed and treated or not,the total score of hospice care knowledge,and the total score of hospice care attitude were the influencing factors of hospice care behavior,the standard partial regression coefficients were 0.165,0.199,and 0.277,respectively.Conclusion:The KAP of community medical staff in Guangzhou is at a medium level,and the knowledge and behavior level of hospice care needs to be improved.