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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
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中国护理管理 ›› 2019, Vol. 19 ›› Issue (9): 1306-1310.doi: 10.3969/j.issn.1672-1756.2019.09.006

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护士安宁疗护自我效能现状及其影响因素研究

彭晶 谌永毅 刘翔宇 成琴琴 陈思涓 黄聪 张清慧 李双双   

  1. 湖南中医药大学护理学院,410208 长沙市(彭晶,张清慧);湖南省肿瘤医院(谌永毅,刘翔宇,成琴琴);南华大学护理学院(陈思涓,黄聪);中南大学护理学院(李双双)
  • 出版日期:2019-09-15 发布日期:2019-09-15
  • 通讯作者: 谌永毅,博士,主任护师,副院长,E-mail:414700595@qq.com
  • 作者简介:彭晶,硕士在读
  • 基金资助:
    国家重点研发计划(2017YFC1309200);2017年度国家癌症中心肿瘤科研专项立项课题(NCC2017A22);2018年度湖南省社会科学基金立项课题(18WTC37);2018年湖南中医药大学研究生创新课题立项项目(2018CX60)

The current status and influencing factors of nurses' hospice care self-efficacy

PENG Jing, CHEN Yongyi, LIU Xiangyu, CHENG Qinqin, CHEN Sijuan, HUANG Cong, ZHANG Qinghui, LI Shuangshuang   

  1. School of Nursing, Hunan University of Chinese Medicine, Changsha, 410208, China
  • Online:2019-09-15 Published:2019-09-15
  • Contact: E-mail:414700595@qq.com

摘要: 目的:调查护士安宁疗护自我效能现状,分析其影响因素。方法:采用便利抽样,对全国30个省份的1?052名护士进行调查,调查工具为自制的一般资料调查表及护士安宁疗护自我效能问卷。结果:护士安宁疗护自我效能感得分为(70.55±10.55)分,各条目均分为(3.92±0.59)分,3个维度均分分别为身体照护行为(4.02±0.63)分,家属照护行为(3.90±0.66)分,心理与精神照护行为(3.85±0.65)分;多元逐步回归分析结果显示,影响护士安宁疗护自我效能感的影响因素是工作年限、终末期护理过去行为经验以及自觉重要程度(P<0.05)。结论:护士安宁疗护整体自我效能处于较高水平,心理与精神照护方面自我效能感有待加强;护理管理者应重视安宁疗护的教育及培训,以加强护士对患者及家属的心理与精神照护能力,增加护士临终照护经验,提高护士安宁疗护认知,帮助其树立正确死亡观,进而提高安宁疗护质量。

关键词: 护士;安宁疗护;自我效能

Abstract: Objective: To investigate the current status and influencing factors of nurses' hospice care self-efficacy. Methods: A total of 1052 nurses from 30 provinces and cities in China were recruited by convenience sampling method. The survey tools are a self-designed general information questionnaire and the nurses' hospice care self-efficacy scale. Results: The mean score of the total scale and each item of nurses' hospice cares self-efficacy was (70.55±10.55) and (3.92±0.59) , respectively. The dimensions scores from high to low were body care behaviors (4.02±0.63), family care behaviors (3.90±0.66), and psychological and mental care behaviors (3.85±0.65). Multiple regression analysis showed that working years, the past behavioral experience of end-of-life care and perceived importance were the main influencing factors of nurses' hospice care self-efficacy. Conclusion: The level of nurses' hospice care self-efficacy is in the moderate and high level, but the psychological and mental care ability needs to be strengthened. In order to improve nurses' hospice care quality, nursing managers should pay more attention to hospice care training and education, improve the nurses' recognition of hospice care, help to establish a correct view of life and death, strengthen the nurses' psychological care ability for patients and their families, and increase the accumulation of nurses' end-of-life care experience.

Key words: nurses; hospice care; self-efficacy

中图分类号: 

  • R47