儿科护士对死亡教育的认知现状及其影响因素分析
Analysis on the status quo of pediatric nurses'cognition of death education and its influencing factors
朱淑贞 1诸纪华 2周红琴 2林楠 2胡南霞 1陈秀萍2
作者信息
- 1. 浙江大学医学院附属儿童医学院急诊科/国家儿童健康与疾病临床研究中心/国家区域儿童医疗中心,杭州 310003
- 2. 浙江大学医学院附属儿童医学院护理部/国家儿童健康与疾病临床研究中心/国家区域儿童医疗中心,杭州 310003
- 折叠
摘要
目的 探讨儿科护士对死亡教育的认知现状,并分析其影响因素,为在儿科病房开展死亡教育提供经验和参考.方法 采用张炎改编制的医护人员死亡教育认知评估量表,以问卷星形式对全国15家儿童专科医院的827名护士进行死亡教育认知调查,分析影响死亡教育认知的相关因素.采用SPSS 23.0进行独立样本t检验和ANOVA分析,并采用多元回归方程对儿科护士死亡教育认知因素之间的关系进行进一步分析.结果 儿科护士死亡教育认知总得分为(35.61±5.64)分,低于中位数得分的36分,儿科护士对死亡教育认知程度处于中下水平.相关分析结果显示,护士职称(回归系数0.064,P=0.045)、对死亡教育的培训需求(回归系数0.300,P<0.001)和了解途径(回归系数0.018,P=0.003)是儿科护士死亡教育认知水平的独立影响因素.结论 儿科护士死亡教育相关理论知识有待通过专业的培训获得并提高.医院应把死亡教育列入儿科护士继续教育培训计划,通过多种方式和途径提高儿科护士的死亡教育认知水平;促进死亡教育活动在儿科病房临终关怀中的开展和应用;降低死亡事件对护士自身情绪的冲击;减轻家长的焦虑和痛苦体验,提高就医满意度.
Abstract
Objective To explore the status quo of pediatric nurses'cognition of death education,and analyze its influencing factors,so as to provide experience and reference for carrying out death education in pediatric wards.Methods In this study,827 nurses from 15 children's hospitals in China were investigated by using the scale for evaluating the cognition of death education in medical staff prepared by Zhang Yan-gai,and the related factors affecting the cognition of death education were analyzed.SPSS 23.0 was used for independent-samples t-test and ANOVA analysis,and multiple regression equation was used to further analyze the relationship between the cognitive factors of death education in pediatric nurses.Results The total score of death education cognition of pediatric nurses was(35.61±5.64)points,which was lower than the median score of 36 points.The degree of death education cognition of pediatric nurses was at the medium-low level.The results of correlation analysis showed that the professional title of nurses(regression coefficient:0.064,P=0.045),the training demand for death education(regression coefficient:0.300,P<0.001),and the way of understanding(regression coefficient:0.018,P=0.003)were independent influencing factors of the death education cognition level of pediatric nurses.Conclusions Pediatric nurse death education related theoretical knowledge should be improved through various professional trainings.The hospitals should include death education in pediatric nurse continuing education training plan to improve pediatric nurses'cognitive level of death education through a variety of ways and means,promote the application of death education activities carried out in pediatric ward in the hospice care,reduce deaths impact to nurse their own emotions,and alleviate parents'anxiety and painful experience,thereby improving medical satisfaction.
关键词
儿科/护士/死亡教育/认知水平/临终关怀Key words
Pediatrics/Nurse/Death education/Cognitive level/Hospice care引用本文复制引用
基金项目
浙江省医药卫生科技计划(2023KY830)
浙江省教育厅一般科研项目(Y202353546)
出版年
2024
NETL
NSTL
万方数据