天津市护理人员安宁疗护知信行现状及影响因素分析

doi:10.3969/j.issn.1006-9143.2023.06.001

天津护理 ›› 2023, Vol. 31 ›› Issue (6): 631-636.DOI: 10.3969/j.issn.1006-9143.2023.06.001

• 论著 • 下一篇

天津市护理人员安宁疗护知信行现状及影响因素分析

卢美玲罗志芹强万敏

（天津医科大学肿瘤医院国家恶性肿瘤临床医学研究中心天津市“肿瘤防治”重点实验室天津市恶性肿瘤临床医学研究中心，天津 300060 ）

出版日期:2023-12-28 发布日期:2023-12-30

Current status and influencing factors of knowledge,attitude andpractice of palliative care amongnurses in Tianjin

LU Meiling ， LUO Zhiqin ， QIANG Wanmin

(Tianjin Medical University Cancer Institute and Hospital ， Tianjin 300060)

Online:2023-12-28 Published:2023-12-30

摘要/Abstract

摘要： 目的：调查天津市护理人员的安宁疗护知信行水平并分析其影响因素，为制定天津市安宁疗护发展策略提供参考依据。方法：采用横断面调查研究设计，以问卷星的形式调查天津市 73 所医院共 9 953 名护理人员，调查工具包括一般资料问卷、姑息护理知识问卷、安宁疗护态度问卷、安宁疗护行为问卷，采用单因素、多重线性回归分析护理人员安宁疗护知信行影响因素。结果：天津市护理人员安宁疗护知识得分为（ 9.56±3.27) 分，得分率为 47.81% ；安宁疗护态度得分为（ 85.97±10.54 ）分，得分率为 68.78% ；安宁疗护行为得分为（ 46.89±10.93 ）分，得分率为 66.99% 。医院类别、科室、学历、护理层级、是否护理过临终患者、是否护理过临终亲朋好友是护理人员安宁疗护知识得分的影响因素；医院级别、医院类别、年龄、性别、工作年限、护理层级、是否护理过临终患者、是否护理过临终亲朋好友是护理人员安宁疗护态度的影响因素；科室、年龄、是否护理过临终亲朋好友是护理人员安宁疗护行为的影响因素。结论：天津市护理人员安宁疗护知识水平处于较低水平，且安宁疗护态度不积极，安宁疗护行为实践不足。护理过临终亲朋好友的临终照护经验是安宁疗护知信行的共同影响因素，提示护理管理者可通过开展情境模拟演练等培训方式，促进护理人员安宁疗护经验的学习与积累，从而为推动天津市安宁疗护发展提供专科人才储备。

关键词: 护理人员, 安宁疗护, 知信行

Abstract: Objective: To investigate the current status of knowledge, attitude and practice of palliative care among nurses in Tianjin and analyze the relevant influencing factors so as to provide reference for formulating the development strategy of palliative care in Tianjin. Methods: A cross-sectional survey design was used to investigate 9 953 nursing staffs from 73 hospitals in Tianjin by electronic questionnaires. The survey tools included general information questionaire, palliative care knowledge questionnaire, palliative care attitude questionnaire, and palliative care behavior questionnaire. Univariate and multiple linear regression analysis were used to analyze the influencing factors of knowledge, attitude and practice of palliative care. Results: The score of knowledge of palliative care was 9.56±3.27, and the scoring rate was 47.81%. The score of attitude of palliative care was 85.97±10.54 and the scoring rate was 68.78%. The score of behavior of palliative care was 46.89±10.93, and the scoring rate was 66.99%. The factors influencing the score of knowledge of palliative care among nursing staffs in Tianjin included hospital category, department, educational background, experience of nursing terminal patients and experience of nursing terminal relatives. Hospital level, hospital category, age, gender, working years,nursing hierarchy, experience of nursing terminal patients and experience of nursing terminal relatives were influencing factors of the score of attitude of palliative care. Department, age, experience of nursing terminal relatives were influencing factors of the score of behavior of palliative care among nursing staffs in Tianjin. Conclusion: The knowledge level of palliative care among nursing staffs in Tianjin is at a low level, the attitude of palliative care is not active, and the practice in palliative care behavior is inadequate. Training and other targeted measures should be taken to provide specialized talent reserves for promoting the development of palliative care in Tianjin.

Key words: Nursing staff, Palliative care, Knowledge, Attitude, Practice

卢美玲罗志芹强万敏. 天津市护理人员安宁疗护知信行现状及影响因素分析[J]. 天津护理, 2023, 31(6): 631-636.

LU Meiling , LUO Zhiqin , QIANG Wanmin. Current status and influencing factors of knowledge,attitude andpractice of palliative care amongnurses in Tianjin [J]. Tianjin Journal of Nursing, 2023, 31(6): 631-636.

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天津市护理人员安宁疗护知信行现状及影响因素分析

Current status and influencing factors of knowledge,attitude andpractice of palliative care amongnurses in Tianjin

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