海南省高校医学生志愿者安宁疗护知信行现状及影响因素研究

Study on current situation and influencing factors of knowledge,attitude and practice of hospice care among medical student volunteers in colleges of Hainan Province

目的调查海南省高校医学生志愿者安宁疗护知信行现状,分析其影响因素。方法采用便利抽样方法于2022年5—6月采用安宁疗护知信行问卷对海南省2所医学高校的712名医学生志愿者进行问卷调查,并对数据进行分析。该问卷分为知识、态度、行为3个维度,共35个条目。结果医学生志愿者安宁疗护知信行总分为(92.53±13.07)分,得分率为66.57%。单因素分析结果显示,不同年龄、专业、年级、是否照顾过临终患者或亲人和安宁疗护知识是否来源于专门培训的医学生志愿者安宁疗护知信行总分比较,差异均有统计学意义(均P<0.05)。多元线性回归分析结果显示,不同年级、专业、是否照顾过临终患者或亲人均是医学生志愿者安宁疗护知信行总分的影响因素(均P<0.05)。结论海南省医学生志愿者安宁疗护知信行总分处于中下水平,其中态度得分高于知识与行为得分,高年级、护理专业、照顾过临终患者或亲人的医学生志愿者安宁疗护知信行总分较高。医学高校及安宁疗护组织管理者应重视医学生志愿者安宁疗护志愿服务培训,特别是低年级、非护理专业的医学生志愿者,强化其安宁疗护志愿服务知识和行为,以进一步促进安宁疗护志愿服务的发展。

Objective To investigate the current situation of knowledge,attitude and practice of hospice care among medical student volunteers in colleges in Hainan Province,analyze its influencing factors.Methods A convenience sampling method was adopted to conduct a questionnaire survey to investigate 750 medical student volunteers from two medical colleges in Hainan Province from May to June 2022,and the data were analyzed.The questionnaire was divided into three dimensions:knowledge,attitude,and behavior,with a total of 35 items.Results The total score of knowledge,attitude and practice of hospice care among medical student volunteers was(92.53±13.07)points,and the scoring rate was 66.57%.The results of univariate analysis showed that there were statistically significant differences in the total score of knowledge,attitude and practice of hospice care among medical student volunteers of different age,major,grade,taking care of dying patients and relatives,and obtaining the hospice care knowledge from specialized training or not(all P<0.05).The results of multiple linear regression analysis showed thatgrade,major,taking care of dying patients and relatives are the influencing factors of the total score of knowledge,attitude and practice of hospice care of medical student volunteers(all P<0.05).Conclusions The score of knowledge,attitude and practice of hospice care of medical student volunteers in Hainan Province is at a mid to low level,and the score of attitude is higher than that of knowledge and behavior.The medical student volunteers who are seniors,nursing majors,and have taken care of terminally ill patients or relatives gain a higher level of knowledge,belief,and practice of hospice care.The managers of medical colleges and hospice care organizations should pay attention to the hospice volunteer service training of medical student volunteers,especially which is in junior grades and non-nursing majors,at the same time,strengthen their knowledge and behavior toward hospice care,and so as to further promote hospice care development of volunteer services.