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沙特阿拉伯重症监护病房护士对临终关怀障碍的看法。

Intensive care unit nurses' perceptions of the obstacles to the end of life care in Saudi Arabia.

作者信息

Mani Zakaria A, Ibrahim Mahmoud A

机构信息

Ministry of Higher Education, Monash University, King Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia. E-mail.

出版信息

Saudi Med J. 2017 Jul;38(7):715-720. doi: 10.15537/smj.2017.7.18454.

Abstract

OBJECTIVES

To explore nurses' perceptions of obstacles to the provision of end of life care (EoLC) in the intensive care unit (ICU) in Saudi Arabia.

METHODS

A modified version of a questionnaire developed by Beckstrand and Kirchhoff was administered in one setting at Riyadh, Saudi Arabia between March and April 2015.

RESULTS

A total of 87 questionnaires were returned from 140 potential respondents, representing a 62% response rate. Findings highlighted concerns associated with patient's family, physicians who differed in opinions, cultural differences and language barriers. The nurses also noted issues in awareness and involvement in education about EoLC and futile care.

CONCLUSION

Findings highlight a number of key obstacles to the provision of  quality EoLC in ICUs for nurses. Further development of both EoLC guidelines and education about EoLC in ICUs is recommended.

摘要

目的

探讨沙特阿拉伯重症监护病房(ICU)护士对提供临终关怀(EoLC)障碍的看法。

方法

2015年3月至4月期间,在沙特阿拉伯利雅得的一个场所使用了由贝克斯特兰德和基尔希霍夫编制的问卷的修改版。

结果

从140名潜在受访者中总共收回了87份问卷,回复率为62%。调查结果突出了与患者家属、意见不同的医生、文化差异和语言障碍相关的问题。护士们还指出了在临终关怀和无效治疗教育的认识和参与方面存在的问题。

结论

调查结果突出了重症监护病房护士在提供高质量临终关怀方面的一些关键障碍。建议进一步制定临终关怀指南并开展重症监护病房临终关怀教育。

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