Yang Fei-Min, Ye Zhi-Hong, Tang Lei-Wen, Xiang Wei-Lan, Yan Lin-Juan, Xiang Min-Li
Department of General Surgery.
Department of Nursing.
Patient Prefer Adherence. 2017 May 5;11:853-860. doi: 10.2147/PPA.S132093. eCollection 2017.
To examine factors that are associated with the apprehension levels of oncology nurses toward hospice care. Factors examined in this study included demographics, nursing experience, education levels, title and post, personal experiences, and attitudes toward end-of-life care.
Questionnaires were provided to nurses (n=201) from three first-tier hospitals in China. A quantitative scale, Professional End-of-life Care Attitude Scale (PEAS), was used to assess personal and professional apprehension levels toward hospice care. The PEAS was translated to Chinese with terms adapted to the cultural environment in China. Statistical analyses were performed to examine the relationships between the apprehension levels and various factors.
The total PEAS scores exhibited internal consistency and reliability, with a Cronbach =0.897 and Pearson's =0.9030. Of the 201 nurses, 184 provided a valid response (91.5%). Education level was significantly correlated with personal (<0.01) and professional apprehension levels (<0.05). Higher apprehension level was found in nurses with less education.
The PEAS quantitative survey is useful for evaluating apprehension levels of nurses toward hospice care. Nurses with more education experienced less anxiety when providing care for terminally ill patients. The findings suggested that education programs on hospice care could be strengthened to help nurses cope with negative attitudes toward end-of-life care.
探讨与肿瘤护理人员对临终关怀护理的担忧程度相关的因素。本研究考察的因素包括人口统计学特征、护理经验、教育水平、职称和岗位、个人经历以及对临终护理的态度。
向来自中国三家一线城市医院的护士（n = 201）发放问卷。采用定量量表——专业临终护理态度量表（PEAS）来评估对临终关怀护理的个人和专业担忧程度。PEAS已翻译成中文，并根据中国的文化环境对术语进行了调整。进行统计分析以检验担忧程度与各种因素之间的关系。
PEAS总分显示出内部一致性和可靠性，克朗巴哈系数=0.897，皮尔逊相关系数=0.9030。在201名护士中，184人给出了有效回复（91.5%）。教育水平与个人担忧程度（<0.01）和专业担忧程度（<0.05）显著相关。教育程度较低的护士担忧程度较高。
PEAS定量调查有助于评估护士对临终关怀护理的担忧程度。受教育程度较高的护士在为绝症患者提供护理时焦虑程度较低。研究结果表明，可以加强临终关怀护理方面的教育项目，以帮助护士应对对临终护理的消极态度。
