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湖北省肿瘤科医护人员安宁疗护实践水平现状及其影响因素分析

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目的 了解肿瘤科医护人员安宁疗护实践水平现状并分析其影响因素。方法 2023年9-11月,分层随机整群抽样法选取1198名肿瘤科医护人员为研究对象,采用安宁疗护自评实践量表、疼痛评估知识和信心自我感知量表、死亡工作自我能力量表及跨学科合作指数修订量表等对其进行调查。结果 肿瘤科医护人员安宁疗护实践水平总分为(67。37±12。77)分,回归分析结果显示,学历、安宁疗护工作喜爱程度、跨学科合作能力、疼痛评估能力及死亡应对能力是其主要影响因素(均P<0。05)。结论 肿瘤科医护人员安宁疗护实践水平处于中等水平,受跨学科合作能力、疼痛评估能力及死亡应对能力等多种因素影响;管理者应从相关因素入手,提高医护人员安宁疗护实践水平,进而提高临终患者的生命质量。
Status Quo and the Influencing Factors of Practice Capability of Palliative Care Among Health-care Professionals in Oncology in Hubei Province
Objective To explore the status quo of practice level of palliative care among oncological healthcare professionals and analyze the influencing factors.Methods A stratified random cluster sam-pling method was employed to select 1,198 oncological healthcare professionals as subjects from Sep-tember to November 2023.Survey was conducted with self-assessment scale for palliative care,self-per-ceived scale for pain assessment,knowledge and confidence,self-competency scale for work related to death,and revised interdisciplinary collaboration index scale.Results The overall score for practice level of palliative care among oncological healthcare professionals was(6 7.3 7±1 2.7 7).Regression analysis results indicated that educational background,affection for the work of palliative care,interdisciplinary collaboration ability,pain assessment ability,and death coping ability were the main influencing factors(all P<0.05).Conclusions The practice level of palliative care among oncological healthcare profes-sionals is at a moderate level and influenced by various factors such as interdisciplinary collaboration abili-ty,pain assessment capability,and death coping ability.Therefore,administrators should focus on these relevant factors to enhance the caring ability of professionals,thereby improving the quality of life of ter-minal patients.

palliative caredepartment of oncologyhealthcare professionalpractice levelinfluencing factor

贾佳、聂小菲、吕翻翻、李龙倜

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湖北医药学院护理学院,湖北十堰 442000

十堰市太和医院 服务质量办公室,湖北 十堰 442000

安宁疗护 肿瘤科 医护人员 实践水平 影响因素

2021湖北省教育厅哲学与社会科学研究青年项目

21Q197

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(8)