沃莱加地区公立医院护士对姑息治疗的知识和临终关怀态度的多中心横断面研究。
Nurses' knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study.
机构信息
School of Nursing and Midwifery, Institute of Health Science, Wollega University, Nekemte, Ethiopia.
Department of Public Health, Institute of Health Science, Wollega University, Nekemte, Ethiopia.
出版信息
PLoS One. 2020 Oct 7;15(10):e0238357. doi: 10.1371/journal.pone.0238357. eCollection 2020.
BACKGROUND
Palliative care is nowadays essential in nursing care, due to the increasing number of patients who require attention in the final stages of their life. Lack of knowledge of and negative attitude palliative care among nurses is one of the most common barriers to quality palliative care. This study, therefore, aimed to assess nurses' knowledge about palliative care and attitude toward end-of-life care in public hospitals in Wollega zones, Ethiopia.
METHODS
A multicenter institutional-based cross-sectional study design was employed to collect data from 372 nurses working in public hospitals in Wollega zones from October 02-22, 2019. A self-administered questionnaire with three different parts: Demographic characteristics of nurses, the Palliative Care Quiz for Nursing (PCQN), and the Frommelt Attitudes Towards Care of the Dying (FATCOD). SPSS version 21 was used for analysis used for data analysis. The binary logistic regression test was used for analysis at p < 0.05.
FINDINGS
Our final sample size was 422 nurses (response rate = 88%). With the mean total PCQN scores (9.34), the majority of them showed an inadequate level of knowledge about palliative care. The mean total FATCOD scores (79.58) displayed a positive attitude toward end-of-life care, with 52% of respondents eager to care for a dying person and their family. Nurses who had PC service experience [AOR = 1.94 CI (1.10-3.42), p = 0.02] and had ever attended training/lecture on PC [AOR = 1.87 CI (1.01-3.46), p = 0.04] were independently associated with nurses' knowledge about PC. Similarly, nurses who had no PC service experience [AOR = 0.41, CI (0.21-0.79), p = 0.008], who read articles/brochures about PC [AOR = 1.94, CI (1.11-3.39), p = 0.01] and had provided care for a smaller number of terminally ill patients [AOR = 1.74, CI (1.01-2.97), p = 0.04] were significantly associated with nurses' attitude towards end-of-life care.
CONCLUSION
The study highlighted that nurses' knowledge about palliative care is inadequate, and showed a less favorable attitude toward end-of-life care. The findings also provide evidence for greater attentions and resources should be directed towards educating and supporting nurses caring for patients with palliative care needs in Wollega Zones.
背景
由于需要在生命末期关注的患者数量不断增加，姑息治疗在护理中如今至关重要。护士对姑息治疗的知识匮乏和消极态度是提供优质姑息治疗的最常见障碍之一。因此，本研究旨在评估在埃塞俄比亚沃莱加地区公立医院工作的护士对姑息治疗的知识和对临终关怀的态度。
方法
采用多中心机构为基础的横断面研究设计，于 2019 年 10 月 2 日至 22 日从沃莱加地区公立医院收集 372 名护士的数据。问卷分为三部分：护士的人口统计学特征、姑息护理知识问卷（PCQN）和弗洛梅尔临终关怀态度量表（FATCOD）。采用 SPSS 版本 21 进行数据分析。使用二进制逻辑回归检验进行分析，p < 0.05。
结果
我们的最终样本量为 422 名护士（应答率=88%）。他们的 PCQN 总分平均为 9.34，表明他们对姑息治疗的知识水平普遍不足。他们的 FATCOD 总分平均为 79.58，显示出对临终关怀的积极态度，其中 52%的受访者渴望照顾临终患者及其家属。有姑息治疗服务经验的护士[比值比（OR）=1.94，置信区间（CI）（1.10-3.42），p=0.02]和曾参加过姑息治疗培训/讲座的护士[OR=1.87，CI（1.01-3.46），p=0.04]与护士对姑息治疗的知识呈独立相关。同样，没有姑息治疗服务经验的护士[OR=0.41，CI（0.21-0.79），p=0.008]、阅读过姑息治疗相关文章/手册的护士[OR=1.94，CI（1.11-3.39），p=0.01]以及照顾过较少数量终末期患者的护士[OR=1.74，CI（1.01-2.97），p=0.04]与护士对临终关怀的态度显著相关。
结论
本研究表明，护士对姑息治疗的知识不足，对临终关怀的态度也不太积极。研究结果还为沃莱加地区提供了证据，即应该更多地关注和资源投入到姑息治疗需求患者的护士教育和支持中。
Zotero 插件