护理人员临终关怀知识水平与对死亡的心理、情感及态度的相关性研究
A correlation study between nursing staff's knowledge level of hospice care and the psychology, emotion and attitude towards deaths.
作者信息
Luo Mingqin, Pan Shiqin, Xie Jianzhi, Li Yuemei
机构信息
Nursing Department, Qinghai Provincial People's Hospital Qinghai, China.
ICU, Qinghai Provincial People's Hospital Qinghai, China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10751-10757. eCollection 2021.
OBJECTIVE
We investigated the relationship between nursing staff's knowledge of hospice care and psychological states, including grief and attitude towards death.
METHODS
From October 2018 to December 2018, a total of 1900 professional nursing staff of secondary and tertiary levels in Qinghai Province were chosen as the research subjects. Professional questionnaires were used to evaluate their knowledge level of Hospice Care (HC), psychological states, grief and attitude towards death, while the correlation between HC knowledge level and the latter three were analyzed.
RESULTS
In Qinghai Province, the nursing staff had the highest scores in terms of knowledge levels of HC symptom control with a score of 4.48±1.65, and the lowest score of 1.79±1.12 in terms of knowledge levels of death education. In the Death Attitude Profile-Revised (DAP-R) scale, there was a negative correlation between fear of death, death avoidance, escape acceptance, and HC knowledge total score (P<0.05), while there was a positive correlation between natural acceptance and HC knowledge score (P<0.05). There was no statistical correlation between the total score of approach acceptance and HC knowledge (P>0.05). In the Grief Experience Questionnaire (GEQ) questionnaire, there were negative correlations between the total score of HC knowledge and body reaction, general grief response, seeking to explain and respond to special death forms (P<0.05). Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were negatively correlated with HC knowledge scores (P<0.05).
CONCLUSION
There is a correlation between nursing staff's knowledge level of hospice care and the psychological state, partial grief and attitudes towards death. The improvement of levels of nursing staff's HC knowledge plays a positive role in maintaining their healthy psychological state, alleviating their grief and helping them to actively face death.
目的
我们调查了护理人员对临终关怀的知识与心理状态之间的关系，包括悲伤情绪和对死亡的态度。
方法
2018年10月至2018年12月，选取青海省1900名二级和三级医疗机构的专业护理人员作为研究对象。采用专业问卷评估他们的临终关怀（HC）知识水平、心理状态、悲伤情绪和对死亡的态度，并分析HC知识水平与后三者之间的相关性。
结果
在青海省，护理人员在HC症状控制知识水平方面得分最高，为4.48±1.65分，在死亡教育知识水平方面得分最低，为1.79±1.12分。在修订后的死亡态度量表（DAP-R）中，对死亡的恐惧、逃避死亡、接受逃避与HC知识总分呈负相关（P<0.05），而自然接受与HC知识得分呈正相关（P<0.05）。接近接受总分与HC知识之间无统计学相关性（P>0.05）。在悲伤体验问卷（GEQ）中，HC知识总分与身体反应、一般悲伤反应、寻求解释和应对特殊死亡形式呈负相关（P<0.05）。汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）与HC知识得分呈负相关（P<0.05）。
结论
护理人员的临终关怀知识水平与心理状态、部分悲伤情绪和对死亡的态度之间存在相关性。提高护理人员的HC知识水平对维持其健康的心理状态、减轻悲伤情绪以及帮助他们积极面对死亡具有积极作用。
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