Zeru Teklay, Berihu Hagos, Gerensea Hadgu, Teklay Girmay, Teklu Tewolde, Gebrehiwot Haftom, Wubayu Tewolde
Department of Pediatric Nursing, School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
Department of Maternity and Reproductive Health , School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
Pan Afr Med J. 2020 Apr 15;35:121. doi: 10.11604/pamj.2020.35.121.17820. eCollection 2020.
Palliative care is a multidisciplinary approach which is focused on both the patient and their family. Therefore the objectives of the study is to assess the knowledge and attitude towards palliative care and its associated factors among nurses in Tigray, Northern Ethiopia, 2018.
An institutional based cross-sectional quantitative study design was carried out using 355 nurses working in selected hospitals in Tigray region from February to March, 2018. Systematic random sampling was used to select six governmental hospitals. We used triangulation in the study method, making use of both Frommelt's Attitude Toward Care of the Dying (FATCOD) scale, and Palliative Care Quiz for Nursing (PCQN) knowledge. SPSS were applied for data entry and analysis. Statistical significance was declared at P<0.05. The goodness of fit the final logistic model was tested by using the Hosmer and Lemeshow test at a value of > 0.05.
All the participants were able to respond. Out of the total study participants, 223 (62.8%) had good knowledge and 200 (56.3%) had a favorable attitude towards Palliative care. A medical ward had (AOR = 3.413, CI = 1.388-8.392, P = 0.019), trained Nurses [AOR = 3.488; CI = 1.735-7.015; P = 0.00) significant associated with nurses knowledge towards palliative care. Nurses working in the lemlem Karl (AOR=2.541; 95% CI; 0.013(1.106-5.835), nurses who had a 20-30 years ago had unfavorable attitude (AOR = 2.660; 95% CI; 0.002(1.386-5.106) were significant.
The nurses had poor knowledge. However, their attitude towards palliative care (PC) was favorable.
姑息治疗是一种多学科方法，关注患者及其家庭。因此，本研究的目的是评估2018年埃塞俄比亚北部提格雷地区护士对姑息治疗的知识和态度及其相关因素。
采用基于机构的横断面定量研究设计，对2018年2月至3月在提格雷地区选定医院工作的355名护士进行研究。采用系统随机抽样方法选择6家政府医院。我们在研究方法中采用了三角测量法，使用了弗罗梅尔特临终关怀态度量表（FATCOD）和护理姑息治疗知识测验（PCQN）。使用SPSS进行数据录入和分析。当P<0.05时具有统计学意义。使用霍斯默和莱梅肖检验对最终逻辑模型的拟合优度进行检验，检验值>0.05。
所有参与者均能做出回应。在所有研究参与者中，223人（62.8%）对姑息治疗有良好的知识，200人（56.3%）对姑息治疗持积极态度。内科病房（比值比=3.413，置信区间=1.388 - 8.392，P = 0.019）、经过培训的护士[比值比=3.488；置信区间=1.735 - 7.015；P = 0.00]与护士对姑息治疗的知识显著相关。在莱姆莱姆卡尔工作的护士（比值比=2.541；95%置信区间；0.013(1.106 - 5.835)）、20至30年前工作的护士态度不佳（比值比=2.660；95%置信区间；0.002(1.386 - 5.106)）具有显著性。
护士的知识水平较差。然而，他们对姑息治疗（PC）的态度是积极的。
