护理人员安宁疗护认知情况调查分析与思考

Investigation and Analysis of Nursing Staff's Cognition of Hospice Care

目的 结合本院人员提供的实际资料,探究安宁疗护干预的应用情况。方法 选择本院2021年6月-2022年6月229例医务人员为研究资料,下发问卷进行调查,了解全体护理人员的基本状况、安宁疗护认知结果、护理人员对安宁疗护态度。结果 本次调查发放问卷229份,经过整理,符合要求的调查问卷219份,有效回收率96%。所有人员一般资料中,≤30岁人群占比较多,55.25%的护理人员为本科学历,53.88%的护理人员为已婚,71.69%的护理人员家庭情况为小家庭(≤4人),护理人94.06%无宗教信仰;展开认知水平统计,所有人员中86.76%为知晓,但理解安宁疗护含义的仅43.38%,愿意在将来选择安宁疗护的占52.97%;统计护理人员安宁疗护态度,以正向态度居多,其中69.86%的护理人员愿意接受安宁疗护,54.34%的护理人员认为自己临终阶段需要安宁疗护,52.97%护理人员愿意为其家人安排临终阶段的安宁疗护,分析安宁疗护推广难点,84.47%的护理人员认为与病人观念有关,84.02%的护理人员认为与家属观念有关,77.63%的人员认为与医保相关政策及法律保障不足有关。结论 本院护理人员对于安宁疗护的认知水平处于中等,接受态度以正向为主;患者及家属的认知不足、缺乏政策支撑是影响安宁疗护的主要因子,临床用重视做好宣传教育工作,推广安宁疗护展开。

Objective To explore the application of hospice care intervention based on the actual data provided by our hospital staff.Methods A total of 229 medical staff in our hospital from June 2021 to June 2022 were selected as the research data.Questionnaires were issued to investigate the basic status of all nurses,the cognitive results of hospice care,and the attitude of nurses towards hospice care.Results A total of 229 questionnaires were distributed in this survey.After sorting out,219 questionnaires met the requirements,with an effective recovery rate of 96%.In the general data of all the nurses,the population≤30 years old accounted for more,55.25%of the nurses had bachelor's degree,53.88%of the nurses were married,71.69%of the nurses had small families(≤4 people),and 94.06%of the nurses had no religious belief.According to the cognitive level statistics,86.76%of all the workers were aware,but only 43.38%understood the meaning of hospice care,and 52.97%were willing to choose hospice care in the future.Among them,69.86%nurses were willing to accept hospice care,54.34%nurses believed that they needed hospice care at the end of life,52.97%nurses were willing to arrange hospice care for their families at the end of life.The difficulties in promoting hospice care were analyzed.84.47%of the nurses thought it was related to the concept of patients,84.02%of the nurses thought it was related to the concept of family members,and 77.63%of the nurses thought it was related to the lack of medical insurance related policies and legal protection.Conclusion The cognition level of nursing staff in our hospital for hospice care is medium,and the acceptance attitude is mainly positive.The lack of awareness of patients and their families and the lack of policy support are the main factors affecting hospice care.In clinical practice,we should pay attention to publicity and education to promote hospice care.