Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Jalan Farmako, Sekip Utara, Yogyakarta 55281, Indonesia; and Center for Tropical Medicine, Universitas Gadjah Mada, Jalan Medika, Senolowo, Mlati, Sleman, Yogyakarta 55281, Indonesia.
Department of Nursing, College of Medicine, National Cheng Kung University, 1 University Road, Tainan, 70101, Taiwan; and National Tainan Junior College of Nursing, 78, Sec. 2, Minzu Road, Tainan, 700, Taiwan.
Aust J Prim Health. 2020 Dec;26(6):472-478. doi: 10.1071/PY20111.
This study investigated Indonesian primary health care providers' knowledge and comfort towards palliative care. A descriptive cross-sectional design was used. From August 2017 to February 2018, the research team approached 70 primary care centres in the Yogyakarta province of Indonesia and invited health care providers to complete the Palliative Care Quiz for Nursing - Indonesia and describe their comfort in caring for terminally ill patients. Data were obtained from 516 health care providers. The mean (±s.d.) score of palliative care knowledge was low (7.8±3.3 of a possible score of 20). Current comfort level in providing palliative care was also low (1.6±2.7 of a possible score of 10). Only 11.3% of palliative care knowledge was explained by respondents understanding of palliative care definition, their education levels and experience in providing palliative care in hospital. However, 82.9% of provider comfort was explained by their experiences for caring for terminally ill patients in primary healthcare centres, palliative care training and years of work experience in primary healthcare centres. Indonesian evidence-based palliative care standards and guidelines must be established with education offered to all providers.
本研究调查了印度尼西亚初级卫生保健提供者对姑息治疗的知识和舒适度。采用描述性横断面设计。2017 年 8 月至 2018 年 2 月，研究小组在印度尼西亚日惹省的 70 个初级保健中心进行了调查，并邀请卫生保健提供者完成印度尼西亚护理姑息治疗测验，并描述他们对临终患者护理的舒适度。数据来自 516 名卫生保健提供者。姑息治疗知识的平均（±s.d.）分数较低（20 分的可能分数为 7.8±3.3）。目前提供姑息治疗的舒适度也较低（10 分的可能分数为 1.6±2.7）。只有 11.3%的姑息治疗知识可以用受访者对姑息治疗定义的理解、他们的教育水平和在医院提供姑息治疗的经验来解释。然而，82.9%的提供者舒适度可以用他们在初级保健中心照顾临终患者、姑息治疗培训和在初级保健中心工作的年限来解释。印度尼西亚必须制定基于证据的姑息治疗标准和指南，并向所有提供者提供教育。
