新生儿临终关怀培训方案对NICU护士临终关怀态度及死亡应对能力的影响

Influences of Neonatal Palliative Care Training Program on Neonatal Intensive Care Unit Nurses’Palliative Care Attitude and Death Coping Ability

目的 探讨新生儿临终关怀培训方案对新生儿重症监护病房(neonatal intensive care unit, NICU)护士临终关怀态度及死亡应对能力的应用效果,以期为NICU护士培训提供参考。方法 采取便利抽样的方法,选取2022年5-6月泉州市某三级儿童专科医院的NICU护士90人为研究对象,采用随机数字表法将护士分为对照组和观察组各45人。对照组开展NICU新生儿护理理论与实践培训,观察组在对照组的基础上实施新生儿临终关怀培训,干预前后采用新生儿临终关怀态度量表(neonatal palliative care attitude scale, NPCAS)和死亡应对能力量表(coping with death scale, CDS)分别比较两组护士临终关怀态度和死亡应对能力水平。结果 干预前,两组护士的NPCAS得分及CDS得分的差异均无统计学意义(均P>0.05);干预后,观察组NICU护士NPCAS得分及CDS得分均高于干预前,亦高于干预后对照组得分,差异均有统计学意义(均P<0.05)。结论 新生儿临终关怀培训方案可以帮助NICU护士改善其临终关怀态度及死亡应对能力。

Objective To explore the effect of neonatal palliative care training program on palliative care attitude and death coping ability of Neonatal Intensive Care Unit(NICU)nurses,and to provide reference for NICU nurses training.Methods From May to June 2022,the convenience sampling method was used to select 90 NICU nurses in a tertiary children’s hospital in Quanzhou as the research objects.The nurses were divided into the control group and the observation group by random number table method,with 45 nurses in each group.The control group carried out NICU neonatal nursing theory and practice training,and the observation group implemented neonatal hospice care training on the basis of the control group.Neonatal Palliative Care Attitude Scale(NPCAS)and Coping with Death Scale(CDS)were used before and after intervention to compare the hospice care attitude and death coping ability of nurses between the two groups.Results Before the intervention,there were no statistically significant differences in NPCAS and CDS scores between the two groups(all P>0.05).After the intervention,the scores of NPCAS and CDS of NICU nurses in the observation group were higher than those before the intervention and those in the control group after the intervention,and the differences were statistically significant(all P<0.05).Conclusion The neonatal palliative care training program can help NICU nurses improve their palliative care attitude and death coping ability.