1Nursing Policy Research Institute, College of Nursing, Yonsei University, South Korea.
Eur J Cardiovasc Nurs. 2014 Apr;13(2):124-33. doi: 10.1177/1474515113519521. Epub 2014 Jan 6.
Palliative care is an important element of holistic care but has received little attention in cardiac disease patients. The purpose of the paper is (a) to investigate nurses' knowledge of palliative care, attitudes toward care of the dying, coping with death, and preparedness to practice palliative care for those with heart failure, and (b) to evaluate influencing factors on preparedness to practice on palliative care.
A cross-sectional descriptive design employed a structured questionnaire that tested nurses' knowledge, attitude, coping, and preparedness to practice on palliative care for patients with heart failure. Ninety nurses in two tertiary university hospitals in South Korea participated in the survey. Data were analyzed with descriptive statistics, correlation, and multiple regression.
Results showed low levels of knowledge reported (an average of 48.3% correct answers), attitude (134.8±110.1), coping (117.2±24.3), and preparedness to practice (17.3±4.7) relating to palliative care. The extent of knowledge was related to both attitudes and coping. These attitudes and coping skills were related to preparedness to practice. The multiple regression analysis showed that preparedness to practice was explained by coping and attitude (R (2) =0.46, F=6.1, p<0.001).
Palliative care training is urgently needed to improve knowledge, attitude, coping, and preparedness to practice. Guidance to assist healthcare professionals involved in palliative care for those with cardiac disease needs to be developed and provided.
姑息治疗是整体护理的重要组成部分，但在心脏病患者中却很少受到关注。本文的目的是：（a）调查护士对姑息治疗的知识、对临终关怀的态度、应对死亡的能力以及对心力衰竭患者实施姑息治疗的准备情况；（b）评估对姑息治疗实践准备的影响因素。
采用横断面描述性设计，采用结构化问卷测试护士对心力衰竭患者姑息治疗的知识、态度、应对和实践准备情况。韩国两所三级大学医院的 90 名护士参与了调查。数据采用描述性统计、相关分析和多元回归进行分析。
结果显示，报告的知识水平较低（平均正确答案为 48.3%），态度（134.8±110.1）、应对（117.2±24.3）和姑息治疗实践准备（17.3±4.7）。知识的程度与态度和应对都有关。这些态度和应对技能与实践准备有关。多元回归分析表明，准备实践由应对和态度解释（R²=0.46，F=6.1，p<0.001）。
迫切需要姑息治疗培训，以提高知识、态度、应对和实践准备。需要制定和提供指导，以帮助参与心脏病姑息治疗的医疗保健专业人员。
