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姑息治疗知识:一项在线调查。

Knowledge of palliative care: an online survey.

作者信息

Al Qadire Mohammad

机构信息

Doctor of Oncology and Palliative care Nursing, Faculty of Nursing, Al al-Bayt University, Mafraq 25113, Jordan.

出版信息

Nurse Educ Today. 2014 May;34(5):714-8. doi: 10.1016/j.nedt.2013.08.019. Epub 2013 Sep 9.

DOI:10.1016/j.nedt.2013.08.019
PMID:24067784
Abstract

BACKGROUND

The main purpose of palliative care is to manage symptoms among patients, reduce their burden of pain, and improve their quality of life. Nurses are an essential part of the palliative care team in providing high standards of care since they spend the longest time with patients. However, lack of adequate knowledge of palliative care is considered as one of the main barriers to palliative care development and practise.

OBJECTIVE

To evaluate Jordanian nursing students' knowledge about palliative care.

METHODS

Design A quantitative research method and descriptive online-survey design were used. Settings and Participants The sample consisted of 220 students enrolled in five nursing schools (four governmental and one private) in Jordan. The Palliative Care Quiz for Nursing was used to measure students' knowledge.

RESULTS

The sample consisted of 220 nursing students; the mean age was 20.5, SD 2.5, and most of the students were female (67), 74 (34%) were fourth-year students and 58 (26%) were in their third year. The total mean score was low, at 8.0 (SD 3.1), ranging from 0 to 18 and the number of correctly answered statements ranged from 60 (27%, statement no. 3) to 145 (66%, statement no. 2). It was found that there were no significant impacts (H (3)=5.69, p=0.137) for place of study. However, students' knowledge was strongly affected by their academic level (H (3)=12.60, p=0.005).

CONCLUSIONS

Integrating palliative care education is required as the mainstay to improve students' knowledge and therefore practise. This education needs to be comprehensive in covering the basic principles of palliative care and symptom management and it should be distributed throughout the different courses to discuss palliative care within different contexts, such as elderly, paediatric and adult settings.

摘要

背景

姑息治疗的主要目的是管理患者的症状,减轻他们的疼痛负担,并提高他们的生活质量。护士是姑息治疗团队的重要组成部分,因为他们与患者相处的时间最长,能提供高标准的护理。然而,缺乏足够的姑息治疗知识被认为是姑息治疗发展和实践的主要障碍之一。

目的

评估约旦护理专业学生对姑息治疗的知识。

方法

设计采用定量研究方法和描述性在线调查设计。设置与参与者样本包括约旦五所护理学校(四所公立和一所私立)的220名学生。使用《护理姑息治疗测验》来衡量学生的知识水平。

结果

样本包括220名护理专业学生;平均年龄为20.5岁,标准差为2.5岁,大多数学生为女性(67名),74名(34%)为四年级学生,58名(26%)为三年级学生。总平均分较低,为8.0分(标准差为3.1分),分数范围为0至18分,正确回答的陈述数量从60条(27%,第3条陈述)到145条(66%,第2条陈述)不等。研究发现学习地点没有显著影响(H(3)=5.69,p=0.137)。然而,学生的知识受到其学术水平的强烈影响(H(3)=12.60,p=0.005)。

结论

需要将姑息治疗教育作为提高学生知识水平进而改善实践的主要手段。这种教育需要全面涵盖姑息治疗的基本原则和症状管理,并且应该分布在不同课程中,以便在不同背景下讨论姑息治疗,如老年人、儿科和成人护理环境。

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