主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (6): 830-835.doi: 10.3969/j.issn.1672-1756.2019.06.007

• 论 著 • 上一篇    下一篇

社区医护人员对待临终关怀、死亡和照顾临终患者的态度及相关性分析

史宏睿 陕柏峰 张瑛 周芸 程丽楠 张静 胡秀英   

  1. 四川大学华西护理学院/四川大学华西医院,610041 成都市(史宏睿,程丽楠);四川大学华西临床医学院/华西医院,华西护理创新研究中心(胡秀英);太原市红十字血液中心(陕柏峰);长治医学院护理学系(史宏睿,张瑛,周芸,张静)
  • 出版日期:2019-06-15 发布日期:2019-06-15
  • 通讯作者: 胡秀英,博士,教授,主任护师,博士生导师,E-mail:huxiuying@scu.edu.cn
  • 作者简介:史宏睿,博士在读
  • 基金资助:
    山西省教育科学“十三五”规划2017年度课题(GH-17049);四川省科技厅重点研发项目(2018SZ0404);山西省大学生创新创业训练项目(2016313)

Community health care providers' attitude towards end-of-life care, death and caring for dying patients

SHI Hongrui, SHAN Baifeng, ZHANG Ying, ZHOU Yun, CHEN Linan, ZHANG Jing, HU Xiuying   

  1. West China School of Nursing/West China Hospital, Sichuan University, Chengdu, 610041, China
  • Online:2019-06-15 Published:2019-06-15
  • Contact: E-mail:huxiuying@scu.edu.cn

摘要: 目的:调查社区医护人员对待临终关怀、死亡和照顾临终患者的态度,并分析三者之间的相关性。方法:抽取长治市9所社区卫生服务机构的132名医护人员进行问卷调查,结果采用SPSS?22.0软件进行统计分析。结果:社区医护人员的死亡态度各维度得分分别为:自然接受(3.84±0.57)分、死亡恐惧(3.13±0.76)分,死亡逃避(3.02±0.71)分、逃离接受(2.68±0.84)分、趋近接受(2.66±0.78)分。临终关怀态度和照顾临终患者态度总均分分别为(3.47±0.44)分和(3.43±0.33)分。死亡态度与照顾临终患者态度间:自然接受与以患者及其家属为中心的照顾意识中度相关(r=0.562,P<0.01)。临终关怀态度与照顾临终患者态度间:临终关怀有效性、临终关怀态度总分与照顾临终患者情感、以患者及其家属为中心的照顾意识分别呈中度相关(r=0.509~0.604,P<0.01)。结论:社区医护人员对待死亡、临终关怀和照顾临终患者的态度均较积极。临终关怀态度和照顾临终患者态度之间有较强的相关性。

关键词: 社区;临终关怀;照顾态度;死亡态度

Abstract: Objective: To investigate community health care providers' attitude towards end-of-life care, death and caring for dying patients, and analyze the correlation among them. Methods: Totally 132 community health care providers of nine community health institutions in Changzhi city were investigated. Data was analyzed by SPSS 22.0 software. Results: The average scores of attitude towards dimensions of death were: neutral accptance (3.84±0.57), fear of death (3.13±0.76), death avoidance (3.02±0.71), escape acceptance (2.68±0.84), approach acceptance (2.66±0.78). The average scores of attitude towards end-of-life care, caring for dying patients were (3.47±0.44), and (3.43±0.33) respectively. Natural acceptance was moderately correlated with the sense of care centered on patients and their families (r=0.562, P<0.01). There was a moderate correlation between the effectiveness of end-of-life care and the feelings of caring for dying patients (r=0.509, P<0.01), and the sense of care centered on patients and their families (r=0.604, P<0.01), the total score of attitude towards end-of-life care and the feelings of caring for dying patients (r=0.595, P<0.01), and the sense of care centered on patients and their families (r=0.576, P<0.01). Conclusion: Community health care providers' attitude towards death, end-of-life care and caring for dying patients are positive. There is a strong correlation between attitude towards end-of-life care and attitude towards caring for dying patients.

Key words: community; end-of-life care; attitude towards caring; death attitude

中图分类号: 

  • R47