肿瘤科护理人员安宁疗护知识与态度的典型相关分析

Canonical correlation analysis of hospice care knowledge and attitude among nurses in department of oncology

目的了解肿瘤科护理人员安宁疗护知识与态度间的相互关系,为提高护理人员安宁疗护水平和积极的护理态度提供科学依据。方法采用整群抽样方法,于2021年3月至8月抽取山东省潍坊市10所医院肿瘤科护理人员294名,采用自制《护理人员安宁疗护知识与态度调查问卷》进行问卷调查,运用典型相关分析对其安宁疗护知识与态度状况进行相关性分析。结果不同年龄、婚姻状况、职务、个人年收入、家中有患重病的成员的肿瘤科护理人员安宁疗护知识得分比较,差异有统计学意义(P<0.05);不同年龄、职务、家中有患重病的成员肿瘤科护理人员安宁疗护态度比较,差异有统计学意义(P<0.05)。典型相关分析显示,护理人员知识与态度之间具有较高的相关性,并且安宁疗护知识掌握的越全面、扎实,安宁疗护的态度越积极;疼痛和其他症状的管理、患者及其家属心理社会精神支持是知识的主要指标;针对临终关怀患者利益、家属支持必要性、照顾者出现恐惧不安心理的态度是主要指标。结论护理人员安宁疗护知识与态度密切关联,应重点加强护理人员安宁疗护知识的普及和深层教育。

Objective To understand the relationship between hospice knowledge and attitudes of nurses in oncology department,to provide scientific basis for improving the level of palliative care and positive nursing attitude of nurses.Methods A total of 294 nurses in the oncology department of 10 hospitals in Weifang City,Shandong Province were selected from March to August 2021 by the cluster sampling method.The self-made“nursing staff’s knowledge and attitudes of hospice care knowledge and attitude questionnaire”was used to conduct a questionnaire survey,and the canonical correlation analysis was used to analyze the correlation between their hospice care knowledge and attitudes.Results There were statistically significant differences in the scores of palliative care knowledge scores of oncology nurses with different age,marital status,job title,personal annual income,and seriously ill members in the family(P<0.05);there were significant differences in palliative care attitudes among nurses in the oncology department of different ages,positions,and seriously ill members at home(P<0.05).Conclusion Canonical correlation analysis showed that there was a high correlation between nursing staff’s knowledge and attitude,and the more comprehensive and solid the knowledge of hospice care was,the more positive the attitude of hospice care was.Management of pain and other symptoms,and psychosocial support of patients and their families were the main indicators of knowledge.The main indicators were the interests of hospice patients,the need for family support,and the caregivers’attitudes towards fear and anxiety.