云南省护生照护临终患者的态度现状调查及影响因素分析

Investigation and Analysis of Influencing Factors on Attitude of Nursing Students to Care for Dying Patients in Yunnan Province

目的分析云南省护生照护临终患者的态度,并探讨影响护生照护态度的相关因素。方法采用便利抽样的方法,于2021年3月-4月选取云南省6所本专科在校及实习护生559人使用自制一般资调查表、中文版佛罗梅尔临终态度照护量表(FATCOD-B)调查护生照护临终患者态度并分析其影响因素。结果调查对象照护临终患者的态度中傣族护生临终照护态度得分为(108.43±3.77)分,护生临终照护态度总分为(103.61±0.40)分,照护临终患者积极态度维度得分为(56.08±7.01)分。不同学历死亡教育知识储备的自我评价比较,差异有统计学意义(P<0.05);负面态度维度得分为(47.53±8.87)。不同性别死亡教育知识储备的自我评价比较,差异有统计学意义(P<0.05);所读学校性质对护生照护临终患者态度有一定影响(R2=0.009,P<0.05)。结论所调查护生照护临终患者态度较为积极,其中傣族护生临终照护态度最为积极;护生就读学校性质是影响其照护临终患者态度的主要因素,在学校教育中应合理增加相关课程内容并加强死亡教育,以提高护生对临终关怀的正确认识。

Objective To investigate and analyze the attitude of nursing students to care for dying patients in Yunnan Province and explore the related factors affecting the attitude.Methods By convenient sampling method,559 nursing students from 6 colleges and universities in Yunnan Province were selected from March to April 2021 to investigate the attitude of nursing students to care for dying patients and analyze its influencing factors by using self-made general information questionnaire and Chinese version of Fromel End-of-life Attitude Care Scale(FATCOD-B).Results The end-of-life care attitude score of Dai nursing students was(108.43±3.77)scores;the total score of hospice care attitude was(103.61±0.40)scores;the score of positive attitude dimension was(56.08±7.01)scores.There was a statistically significant difference in self-evaluation of death education knowledge reserve among different educational backgrounds(P<0.05).The score of negative attitude dimension was(47.53±8.87)scores.There was a statistically significant difference in self-evaluation of death education knowledge reserve between different genders(P<0.05).The nature of the school had a certain effect on the attitude of nursing students to care for terminally ill patients(R2=0.009,P<0.05).Conclusion The nursing students in the school are more active in caring for the dying patients,among which the Dai nursing students are the most active.The nature of the school is the main factor affecting the attitude of nursing students to care for dying patients.In order to improve the correct understanding of hospice care for nursing students,relevant curriculum contents should be reasonably increased in school education and death education should be strengthened.