Liu Qinghua, Tao Jing, Gao Lianlian, He Xifei, Wang Yuping, Xia Wenlin, Huang Lihong
Department of Endocrinology, 66375Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Nursing Teaching Office of Internal Medicine, 66375Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology, Wuhan, China.
Am J Hosp Palliat Care. 2021 Feb;38(2):204-210. doi: 10.1177/1049909120968533. Epub 2020 Oct 22.
The aim of this study was to understand the attitudes of front-line clinical nurses toward hospice care in the fight against the COVID-19 pandemic, to provide a source of reference for hospice care education and training in hospitals treating patients with COVID-19.
Front-line nurses from a designated COVID-19 hospital in Wuhan, China, participated. Participants completed the Chinese versions of the General Information Questionnaire, the Frommelt Attitudes Toward Care of the Dying Scale, the Jefferson Scale of Empathy, and the General Self-Efficacy Scale.
A total of 149 questionnaires were included in the analysis. The median total hospice care attitudes score was median 102.00(interquartile range, 95.5-120.50). The nurses' attitudes toward hospice care were significantly associated with their age, knowledge of hospice care, level of empathy, and self-efficacy.
The attitudes of front-line nurses toward hospice care need to be improved. Hospital departments should establish an effective public health emergency strategy, provide training to increase front-line nurses' knowledge and practical experience of hospice care, cultivate nurses' empathy, and enhance their sense of self-efficacy, in order to improve the quality of hospice care for patients and their families.
本研究旨在了解一线临床护士在抗击新型冠状病毒肺炎疫情期间对临终关怀的态度，为收治新型冠状病毒肺炎患者的医院开展临终关怀教育与培训提供参考依据。
来自中国武汉一家指定的新型冠状病毒肺炎医院的一线护士参与了研究。参与者完成了中文版的一般信息问卷、弗洛梅尔特临终关怀态度量表、杰斐逊共情量表和一般自我效能量表。
共149份问卷纳入分析。临终关怀态度总分中位数为102.00（四分位间距，95.5 - 120.50）。护士对临终关怀的态度与其年龄、临终关怀知识、共情水平和自我效能显著相关。
一线护士对临终关怀的态度有待提高。医院各部门应制定有效的突发公共卫生事件应对策略，通过培训增加一线护士临终关怀知识和实践经验，培养护士的共情能力，增强其自我效能感，以提高对患者及其家属的临终关怀质量。
