ICU护士对病人生命末期病情真相告知态度的调查分析

Survey and analysis of ICU nurses′ attitude on truth-telling of patients′ end-of-life conditions

目的:了解重症监护室(ICU)护士对病人生命末期病情真相告知态度及其影响因素。方法:通过便利抽样法,采用一般资料问卷、生命末期病情真相告知态度调查问卷对泸州市3家三级医院ICU护士进行调查。采用多元线性回归分析ICU护士对病人生命末期病情真相告知态度及其影响因素。结果:共调查了122名ICU护士,其生命末期病情真相告知态度总分为(40.88±5.80)分,总均分为(3.07±0.45)分。其中真相告知看法均分为(3.34±0.68)分,真相告知好处均分为(3.77±0.69)分,真相告知坏处均分为(2.90±0.74)分。年龄、是否认同应由病人来决定生命末期是否接受CPR、是否认同当疾病对治疗不再反应时应及时告诉病人CPR与DNR的选择是护理人员生命末期病情真相告知态度的影响因素(均P<0.05)。结论:ICU护士的生命末期病情真相告知态度处于中等水平,有待进一步提高。应根据不同特征的护士群体采取相应措施提高其对病人生命末期身心感受的认识与了解,积极参与病人生命末期病情真相告知,促进病人自主临终决策,提高其末期生存质量。

Objective:To understand the attitude of nurses in the intensive care unit(ICU) on truth-telling of patients′ end-of-life conditions and its influencing factors.Methods:ICU nurses in 3 third grade hospitals in Luzhou city were included in this study by using the convenience sampling method.General information questionnaires and the Attitude Questionnaire of Truth-Telling of End-of-Life Condition were used to investigate.Multiple linear regression analysis was used to analyze the influencing factors of ICU nurses′ attitudes towards truth-telling of patients′ end-of-life conditions.Results:A total of 122 ICU nurses were surveyed.The total score of their attitude toward telling the truth about their terminal illness was(40.88±5.80),and the total score was(3.07±0.45).Among them, the average score of truth-telling opinions was(3.34±0.68),the average score of truth-telling benefits was(3.77±0.69),and the average score of truth-telling disadvantages was(2.90±0.74).Nurses′ age, whether they agree that it is up to the patient to decide whether to accept CPR at the end of life, and whether they agree to tell the patient the choice of CPR and DNR in time when the disease no longer responds to treatment were the influencing factors of the ICU nurses′ attitude on truth-telling of patients′ end-of-life conditions(all P< 0.05).Conclusions:The ICU nurses′ attitude toward truth-telling of patients′ end-of-life conditions is at moderate level and needs to be further improved.Nurses with different characteristics should take corresponding measures to improve their awareness and understanding of patients′ physical and mental feelings at the end of life, actively participate in telling the truth about patients′ end-of-life conditions, promote patients′ independent decision-making at the end of life, and improve their quality of life at the end of life.