湖北省肿瘤科医护人员安宁疗护实践水平现状及其影响因素分析

Status Quo and the Influencing Factors of Practice Capability of Palliative Care Among Healthcare Professionals in Oncology in Hubei Province

目的了解肿瘤科医护人员安宁疗护实践水平现状并分析其影响因素。方法2023年9-11月,分层随机整群抽样法选取1198名肿瘤科医护人员为研究对象,采用安宁疗护自评实践量表、疼痛评估知识和信心自我感知量表、死亡工作自我能力量表及跨学科合作指数修订量表等对其进行调查。结果肿瘤科医护人员安宁疗护实践水平总分为(67.37±12.77)分,回归分析结果显示,学历、安宁疗护工作喜爱程度、跨学科合作能力、疼痛评估能力及死亡应对能力是其主要影响因素(均P<0.05)。结论肿瘤科医护人员安宁疗护实践水平处于中等水平,受跨学科合作能力、疼痛评估能力及死亡应对能力等多种因素影响;管理者应从相关因素入手,提高医护人员安宁疗护实践水平,进而提高临终患者的生命质量。

Objective To explore the status quo of practice level of palliative care among oncological healthcare professionals and analyze the influencing factors.Methods A stratified random cluster sampling method was employed to select 1,198 oncological healthcare professionals as subjects from September to November 2023.Survey was conducted with self-assessment scale for palliative care,self-perceived scale for pain assessment,knowledge and confidence,self-competency scale for work related to death,and revised interdisciplinary collaboration index scale.Results The overall score for practice level of palliative care among oncological healthcare professionals was(67.37±12.77).Regression analysis results indicated that educational background,affection for the work of palliative care,interdisciplinary collaboration ability,pain assessment ability,and death coping ability were the main influencing factors(all P<0.05).Conclusions The practice level of palliative care among oncological healthcare professionals is at a moderate level and influenced by various factors such as interdisciplinary collaboration ability,pain assessment capability,and death coping ability.Therefore,administrators should focus on these relevant factors to enhance the caring ability of professionals,thereby improving the quality of life of terminal patients.