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新加坡一家急症医院中照顾临终患者及面临死亡患者的经历:一名护士的视角

Caring for dying patients and those facing death in an acute-care hospital in Singapore: a nurse's perspective.

作者信息

Tan Jessie, Low James Alvin, Yap Philip, Lee Angel, Pang Weng Sun, Wu Yingjuan

机构信息

Department of Geriatric Medicine, Alexandra Hospital, Singapore.

出版信息

J Gerontol Nurs. 2006 May;32(5):17-24. doi: 10.3928/00989134-20060501-05.

DOI:10.3928/00989134-20060501-05
PMID:16708980
Abstract

Nurses are at the forefront of caring for dying patients in hospices, nursing homes, acute-care hospitals, and patients' homes. This study was conducted to explore the emotional and practical experience as well as attitudes of nurses caring for the dying and the deceased in an acute-care hospital in Singapore. The authors explored differences in opinion among the various ethnic groups (Malay, Chinese, Indian, Filipino) that make up the nurse population in this particular hospital. A structured questionnaire was self-administered by the participants to explore nurses' views, opinions, and experiences in caring for dying patients from a quantitative aspect. It specifically addressed attitudinal, ethical, and communicational issues involved in caring for dying patients. Where applicable, a Likert scale ranging from Always to Never or from Strongly Agree to Strongly Disagree was used. One hundred and eighty of 246 questionnaires were returned (73%). Most respondents never or only occasionally felt uncomfortable caring for dying patients, and felt it reminded them of their own mortality, made them treasure life more, and made them ask questions about life and death. In this descriptive study, some difference in attitudes and views among the various ethnic groups was observed.

摘要

护士处于临终关怀医院、疗养院、急症医院以及患者家中照料临终患者的前沿位置。本研究旨在探索新加坡一家急症医院中护理临终患者及逝者的护士的情感与实际体验以及态度。作者探究了构成该特定医院护士群体的不同种族(马来族、华族、印度族、菲律宾族)之间的意见差异。参与者自行填写一份结构化问卷,从定量角度探索护士在照料临终患者方面的观点、意见和经历。问卷特别涉及了照料临终患者过程中出现的态度、伦理和沟通问题。在适用的情况下,使用了从“总是”到“从不”或从“强烈同意”到“强烈不同意”的李克特量表。246份问卷中有180份被收回(回收率为73%)。大多数受访者在照料临终患者时从未或只是偶尔感到不适,并且觉得这让他们想起了自己的必死命运,让他们更加珍惜生命,促使他们思考有关生与死的问题。在这项描述性研究中,观察到不同种族之间在态度和观点上存在一些差异。

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