Iranmanesh Sedigheh, Dargahi Helen, Abbaszadeh Abbas
Department of Health Science, Luleå University of Technology, Luleå, Sweden.
Palliat Support Care. 2008 Dec;6(4):363-9. doi: 10.1017/S1478951508000588.
To examine the attitudes of Iranian nurses toward caring for dying patients.
Nurses' attitudes toward death and caring for dying patients were examined by using two types of questionnaires: the Death Attitude Profile-Revised (DAP-R) and Frommelt's Attitude towards Caring for Dying Patients (FATCOD), both with a demographic survey.
The results showed that most respondents are likely to view death as a natural part of life and also as a gateway to the afterlife. The majority reported that they are likely to provide care and emotional support for the people who are dying and their families, but they were unlikely to talk with them or even educate them about death. They had a tendency not to accept patients and their families as the authoritative decision makers or involve families in patient care. Nurses' personal views on death, as well as personal experiences, affected their attitudes toward care of the dying.
Lack of education and experience, as well as cultural and professional limitations, may have contributed to the negative attitude toward some aspects of the care for people who are dying among the nurses surveyed. Creating a reflective narrative environment in which nurses can express their own feelings about death and dying seems to be a potentially effective approach to identify the factors influencing their interaction with the dying. Continuing education may be required for Iranian palliative care nurses in order to improve the patients quality of care at the end of life.
探讨伊朗护士对临终患者护理的态度。
通过使用两种问卷来考察护士对死亡及临终患者护理的态度：修订版死亡态度量表（DAP-R）和弗罗迈尔特临终关怀态度量表（FATCOD），二者均附有一份人口统计学调查问卷。
结果显示，大多数受访者倾向于将死亡视为生命的自然组成部分，也视为通往来世的入口。大多数人报告称，他们可能会为临终者及其家人提供护理和情感支持，但不太可能与他们交谈，甚至向他们进行死亡教育。他们往往不把患者及其家人视为权威决策者，也不让家人参与患者护理。护士个人对死亡的看法以及个人经历影响了他们对临终护理的态度。
缺乏教育和经验，以及文化和专业限制，可能导致了接受调查的护士对临终患者护理某些方面的消极态度。营造一个反思性的叙事环境，让护士能够表达自己对死亡和临终的感受，似乎是识别影响他们与临终者互动因素的一种潜在有效方法。伊朗姑息治疗护士可能需要接受继续教育，以提高患者临终时的护理质量。
