天津护理 ›› 2025, Vol. 33 ›› Issue (5): 556-562.DOI: 10.3969/j.issn.1006-9143.2025.05.010

• 调查与分析 • 上一篇    下一篇

天津市三级甲等医院护士优逝期望现状及影响因素分析

方治平1 朱玥2 李学技1   

  1. (1.天津市第一中心医院,天津 300192;2.天津市中医药研究院附属医院)
  • 出版日期:2025-10-28 发布日期:2025-10-27
  • 基金资助:
    天津中医药大学大学生科技创新基金项目(ZX13)

The status and influencing factors of nurses' expectation of good death in grade A tertiary hospitals

FANG Zhiping1, ZHU Yue2, LI Xueji1   

  1. (1.Tianjin First Central Hospital, Tianjin 300192; 2.Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital)
  • Online:2025-10-28 Published:2025-10-27

摘要: 目的:调查天津市三级甲等医院护士优逝期望现状及其影响因素,以期为护理管理者制订提高护士临终关怀能力的措施提供参考。方法:选取天津市8所三级甲等医院的334名护士为研究对象,采用一般资料调查表、死亡焦虑量表、中文版磁性要素量表及中文版优逝期望量表进行问卷调查。结果:天津市三级甲等医院护士优逝期望得分为(214.04±30.98)分,处于较高水平。多元线性回归分析结果显示,婚姻状况、文化程度、3年内亲朋的死亡人数、死亡焦虑以及医院磁性水平是护士优逝期望的主要影响因素(P<0.01),可解释总变异的42.7%。结论:护士优逝期望处于较高水平。护理管理者可通过提高医院磁性水平,同时积极开展临床护士死亡教育,降低护士的死亡焦虑水平,提高护士对于优逝和临终关怀的认知水平,使其掌握临终关怀理论与技能,从而降低其优逝期望水平,进而提升患者的临终质量。

关键词: 护士, 优逝期望, 死亡焦虑, 医院磁性, 临终关怀

Abstract: Objective: To investigate the status and influencing factors of nurses' expectation of good death in grade A tertiary hospitals in Tianjin, so as to provide reference for nursing managers to formulate measures to improve the level of hospice care of nurses. Methods: A total of 334 nurses from 8 grade A tertiary hospitals in Tianjin were included. The general information questionnaire, Templers Death Anxiety Scale (T-DAS), Essentials of Magnetism Scale (EOM) and Good Death Inventory (GDI) were used for questionnaire survey. Results: The average score of nurses' expectation of good death was 214.04±30.98, which was at a high level. Multivariate linear regression results showed that marital status, education level, number of deaths of relatives and friends within 3 years, death anxiety and hospital magnetic level were the main influencing factors of nurses' expectation of good death (all P<0.01), which could explain 42.7% of the total variation. Conclusion: Nurses' expectation of good death is at a high level. Nursing managers can reduce the level of death anxiety of nurses by improving the magnetic level of hospitals and actively carrying out death education for clinical nurses, so as to improve nurses' cognitive level of good death, make them master the theory and skills of hospice care, and then improve the quality of patients' death.

Key words: Nurses, Expectations of good death, Death anxiety, Hospital magnetism, Hospice care