Ho Tai Mooi, Barbero Eva, Hidalgo Carlota, Camps Carme
Servei de Nefrologia, Hospital del Mar (IMAS), Barcelona, Catalunya, Spain.
J Ren Care. 2010 Mar;36(1):2-8. doi: 10.1111/j.1755-6686.2010.00141.x.
Patients with advanced chronic kidney disease are increasingly elderly with increasing numbers of co-morbidites. Some may not be suitable for dialysis, some will choose to withdraw from treatment after a period of time and some will reach the end of their lives while still on dialysis. Studies have shown nurses' attitudes towards caring for dying patients affect the quality of care. A descriptive study was conducted to explore Spanish nurses' views and attitudes in this context and to assess any relationship between demographic variables and attitudes. Two measurement tools were used: a demographic survey and the Frommelt Attitude Toward Care of the Dying Scale-Form B. Two hundred and two completed questionnaires were returned. Although respondents demonstrated positive attitudes in this domain, 88.9% viewed end-of-life (EOL) care as an emotionally demanding task, 95.3% manifested that addressing death issue require special skills and 92.6% reported that education on EOL care is necessary. This paper suggests strategies which could ease the burden in this area of care.
晚期慢性肾病患者的年龄越来越大，合并症数量也越来越多。一些患者可能不适合透析，一些患者会在一段时间后选择停止治疗，还有一些患者会在仍接受透析时走到生命尽头。研究表明，护士对临终患者护理的态度会影响护理质量。开展了一项描述性研究，以探讨西班牙护士在此背景下的观点和态度，并评估人口统计学变量与态度之间的任何关系。使用了两种测量工具：一项人口统计学调查和弗罗梅尔特临终关怀态度量表B型。共收回202份完整问卷。尽管受访者在这一领域表现出积极态度，但88.9%的人认为临终护理是一项情感上要求很高的任务，95.3%的人表示处理死亡问题需要特殊技能，92.6%的人报告称有必要开展临终护理教育。本文提出了一些可以减轻这一护理领域负担的策略。
