急诊科护理实习生死亡应对能力现状及影响因素研究

Study on the status quo and influencing factors of coping ability with death am ong nursing interns in emergency department

目的 调查急诊科护理实习生的死亡应对能力现状并分析其影响因素。方法 采用便利抽样法,选取2022年8月-2023年4月在河南省、陕西省、甘肃省各1所三级甲等医院急诊科的217名护理实习生为研究对象,采用生命意义感量表、简化版死亡应对能力量表、中文版死亡态度描绘量表对其进行调查。结果 回收有效问卷93.5%。急诊科护理实习生的死亡应对能力得分为(37.99±8.50)分,处于中等偏下水平。多元线性回归分析结果显示,学校是否设置死亡教育或安宁疗护课程、是否支持生前预嘱、生命意义感、趋近接受是急诊科护理实习生死亡应对能力水平的影响因素(P<0.05),可解释29.8%的总变异。结论 急诊科护理实习生死亡应对能力有待提升。临床教学应弥补学校死亡教育的相对不足,引导其深层次思考死亡事件并培养正向死亡态度,立足中国传统文化探寻生命意义感,从而提升护理实习生的死亡应对能力。

Objective To investigate the current situation and to analyze the influencing factors of coping ability with death among nursing interns in emergency department.Methods A total of 217 nursing interns who practiced in the emergency department of a Grade Ⅲ hospital in Henan Province,Shaanxi Province and Gansu Province from August 2022 to April 2023 were selected as the study objects by convenience sampling method.Nursing interns were investigated by the Meaning in Life Questionnaire,Coping with Death-Short Version Scale and Chinese version of Death Attitude Profile-Revised.Results 93.5%of the valid questionnaires were collected.The score of coping ability with death among the nursing interns in emergency department was(37.99±8.50)points.The ability of emergency nursing interns to cope with death was in the lower middle level.The results of multiple linear regression analysis showed that whether the school provided death education or hospice course,whether supported living will,sense of life meaning,and approach acceptance were the influencing factors for the coping ability with death of nurse interns in emergency department(P<0.05).It explained 29.8%of the total variation.Conclusion The coping ability with death of nursing interns in emergency department needs to be improved.Clinical teaching should make up for the relative deficiency of death education in schools,guide them to think deeply about death events and cultivate a positive attitude toward death,and explore the sense of meaning of life based on traditional Chinese culture,so as to improve their coping ability with death.