护生为癌症终末期病人提供安宁疗护的意愿及影响因素

The willingness and influencing factors of nursing students to hospice care for patients with end-of-life cancer

目的:调查护生为癌症终末期病人提供安宁疗护的意愿及影响因素。方法:采用自行设计的护生安宁疗护意愿评估问题、杰弗逊共情量表护生版(JSPE-NS)、安宁疗护知识量表(PCQN)和临终关怀态度量表(FATCOD-B)对杭州市某医学院校644名护生进行问卷调查。结果:护生安宁疗护意愿得分为(5.98±1.84)分,安宁疗护知识、对安宁疗护社会认可度评价、亲友死亡经历、癌症终末期病人接触经历、安宁疗护课程学习经历、临终关怀态度、共情能力和社会志愿服务经历为护生从事癌症终末期病人安宁疗护工作意愿的影响因素。结论:护生对癌症终末期病人提供安宁疗护意愿处于中等偏上水平,有待加强。应加快安宁疗护教育体系建设,促进安宁疗护社会认可度的提升,并注重培养护生的共情能力,引导其形成正向态度,从而逐步提高意愿。

Objective:To investigate the willingness and influencing factors of nursing students to hospice care for patients with end-of-life cancer.M ethods:A survey,involving 644 nursing students from a medical college in Hangzhou city,was conducted by using self-designed assessment tool of hospice care willingness,the Jefferson Scale of Physician Empathy for Nursing Students(JSPE⁃NS),the Palliative Care Quiz for Nursing(PCQN)and the Frommelt Attitude Toward Care of the Dying Scale-B(FATCOD-B).Results:The mean score of hospice care willingness of nursing students was 5.98±1.84.Hospice care knowledge,acceptance of hospice care,experience of death of a friend or relative,exposure to end-of-life cancer patients,hospice course learning experience,hospice care attitudes,empathy and social volunteering experience were the influencing factors of nursing students to hospice care for patients with end-of-life cancer.Conclusions:The willingness level of nursing students to hospice care for patients with end-of-life cancer was moderate,which need to be strengthened.It is necessary to accelerate the construction of hospice care education system,promote the promotion of social recognition of hospice care,and focus on cultivating nursing students'empathy and guide them to form positive attitudes,so as to gradually improve their willingness.