Chisbert-Alapont Encarna, García-Salvador Isidro, De La Ossa-Sendra María Jesús, García-Navarro Esperanza Begoña, De La Rica-Escuín Marisa
Day Hospital, La Fe University and Polytechnic Hospital, 46026 Valencia, Spain.
Research Group of the Spanish Nursing Association of Palliative Care AECPAL, 28036 Madrid, Spain.
Int J Environ Res Public Health. 2021 Oct 26;18(21):11249. doi: 10.3390/ijerph182111249.
This study aims to assess the influence of training on nurses' attitudes toward end-of-life care during the COVID-19 pandemic alarm state in Spain.
Cross-sectional descriptive study. Data collection was carried out by means of an ad hoc questionnaire using Google Forms in April and May 2020. The score of attitudes toward end-of-life care was used, to which sociodemographic variables and training in palliative care were added.
Data were collected from 238 nursing professionals who had cared for COVID-19 and non-COVID-19 adult patients at the end-of-life stage in a hospital or nursing home.
Results showed that 51% of the nurses in the sample had training in palliative care. However, the percentage decreased to 38.5% among those who cared for COVID-19 patients and to 44.5% in those who cared for non-COVID-19 patients. In relation to attitudes about end-of-life care, more positive attitudes and a higher mean score were found in the trained group.
Palliative care training is a key element in end-of-life care and is even more important in times of COVID-19.
Although end-of-life accompaniment has been studied, few studies have included the influence of training on this during the pandemic. This study identifies key elements of accompaniment and training in a comparison of COVID-19 and non-COVID-19 patients during the pandemic. In relation to attitudes toward end-of-life care, the results showed a more positive attitude and a higher mean score in the trained group (3.43 ± 0.37 versus 3.21 ± 0.32), the difference being statistically significant ( < 0.001).
本研究旨在评估培训对西班牙新冠疫情警戒状态下护士临终关怀态度的影响。
横断面描述性研究。2020年4月和5月通过谷歌表单使用专门设计的问卷进行数据收集。采用临终关怀态度得分，并添加社会人口统计学变量和姑息治疗培训情况。
收集了238名在医院或养老院照顾过新冠及非新冠成年临终患者的护理专业人员的数据。
结果显示，样本中51%的护士接受过姑息治疗培训。然而，在照顾新冠患者的护士中这一比例降至38.5%，在照顾非新冠患者的护士中降至44.5%。关于临终关怀态度，接受培训的组表现出更积极的态度和更高的平均得分。
姑息治疗培训是临终关怀的关键要素，在新冠疫情期间更为重要。
尽管已有关于临终陪伴的研究，但很少有研究涉及疫情期间培训对此的影响。本研究在疫情期间对新冠和非新冠患者进行比较，确定了陪伴和培训的关键要素。关于临终关怀态度，结果显示接受培训的组态度更积极，平均得分更高（3.43±0.37对3.21±0.32），差异具有统计学意义（<0.001）。
