广东省儿科护士姑息关怀知识和态度的现状调查与分析

Investigation and Analy-sis about the Actual Situation of the Knowledge and Attitude towards Palliative Care among Pediatric Nurses in Guangdong Province

目的:1、描述广东省护士的姑息关怀知识和态度现状。2、分析影响护士姑息关怀知识和态度得分的因素。3、为进一步探讨如何提升护士对姑息关怀知识及态度的掌握提供建议。方法:2020年1月~5月,选取广东省5家医院94名护士为调查对象,采用非实验研究设计的描述性相关研究,通过问卷进行调查。应用一般资料问卷、中文版姑息关怀知识问卷、中文版姑息关怀态度问卷对94名护士进行测量及相关因素分析,将有效问卷所得数据用SPSS 20.0进行描述及相关分析。结果:1、姑息关怀知识问卷平均得分为12.76 ±3.26分,其中姑息关怀哲理和原则平均得分为2.09 ±1.01分,心理精神和社会支持平均得分为2.14 ±0.74分,疼痛和症状控制平均得分为8.53 ±2.32分。2、广东省护士姑息关怀态度平均得分为36.19 ±3.57分,其中专业职责和角色平均得分为11.85 ±2.13分,姑息关怀有效性平均得分为15.59 ±1.99分,护患沟通平均得分为8.75 ±1.70分。3、单因素方差分析显示:不同学历的护士的姑息关怀知识得分差异具有统计学意义;不同科室、不同学历的护士的姑息关怀态度得分差异具有统计学意义。4、通过多元逐步回归分析,影响护士姑息关怀知识的因素依次为:年龄、职称;影响护士姑息关怀态度的因素为职称。结论:1、广东省护士姑息关怀知识及态度掌握较为欠缺。2、年龄、职称、学历、科室等因素影响护士对于姑息关怀知识及态度的掌握。

Objective: To describe theactual situation of the knowledge and attitude towards palliative care amongpediatric nurses in Guangdong province, assessing the factors affecting nurses’palliative care knowledge and attitude score for facilitate implementingpalliative nursing care. Methods: A questionnaire based cross-sectional anddescriptive study was carried out among 94 nurses working in 5 tetiary hospitalsin Guangdong Province from January to May, 2020. In the study, we adopted bothRoss’s Palliative Care Cognitive Questionnaire (PCQN) and Bradley’s PalliativeCare Attitude Scale. SPSS 22.0 was applied for data entry and analysis.Results: 1. The overall average score of palliative care knowledge was 12.76 ±3.26. Philosophy and principles of palliative care was 2.09 ±1.01;psychological, spiritual and social support was 2.14 ±0.74;pain and symptomcontrol was 8.53 ±2.32. 2. The overall average score of attitude toward careof the dying was 36.19 ±3.57;professional responsibilities and roles was11.85 ±2.13;effectiveness of palliative care was 15.59 ±1.99;nurse-patientcommunication was 8.75 ±1.70. 3. Single factor analysis of variance showedthat education degree had statistically significant impacts on palliative careknowledge. Education background and specialty have statistically significantimpacts on palliative care attitude. 4. Logistic regression analysis showedthat mainly influencing factors for knowledge and attitude were age, title andtitle respectively. Conclusion: The pediatric nurses in Guangdong province arelack of knowledge and attitude towards palliative care. Age, professionaltitle, educational background, specialty are mainly factors affect nurses’grasp of palliative care knowledge and attitude.