School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Department of Neurosurgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Asian Nurs Res (Korean Soc Nurs Sci). 2021 Dec;15(5):310-316. doi: 10.1016/j.anr.2021.10.003. Epub 2021 Nov 11.
The goal of this study was to describe the current status of oncology nurses' behaviors toward end of life (EOL) care in China and to explore the factors associated with oncology nurses' behaviors toward EOL care.
A cross-sectional design was applied and a convenience sample of 1038 oncology nurses from 22 grade A hospitals were recruited into this study. A general social demographic data questionnaire was administered, and the Chinese version of Nurses' Behaviors of Caring for Dying Patients Scale was used to assess nurse behavior toward EOL care. The total score ranges from 40 to 200 points. Data were analyzed with SPSS 26.0 software.
Chinese oncology nurses' average score of holistic EOL care behaviors was 2.97 ± 0.59. Oncology nurses provide physical care most (3.81 ± 0.76), followed by family care (3.02 ± 0.86), and spiritual care (2.37 ± 0.67). Multiple regression analysis showed that a higher frequency of sharing EOL care experience with colleagues, in-service palliative care education, higher level of head nurse support for EOL patient care, more cases of EOL care, higher working position, and nurse's perceived high level of support were positively associated with behavior toward EOL care. These six factors explained 16.2% of the total variance.
The results may help provide a basis for converting behavior for EOL care among oncology nurses and design interventions to better improve quality of life for EOL patients with cancer in China.
本研究旨在描述中国肿瘤护士临终关怀行为的现状，并探讨与肿瘤护士临终关怀行为相关的因素。
采用横断面设计，便利抽取全国 22 家 A 级医院的 1038 名肿瘤护士进行调查。采用一般社会人口学资料问卷和中文版护士临终关怀行为量表评估护士的临终关怀行为。总分范围为 40 至 200 分。采用 SPSS 26.0 软件进行数据分析。
中国肿瘤护士整体临终关怀行为的平均得分为 2.97±0.59。肿瘤护士提供的躯体护理最多（3.81±0.76），其次是家庭护理（3.02±0.86）和精神护理（2.37±0.67）。多元回归分析显示，与临终关怀行为呈正相关的因素有：与同事分享临终关怀经验的频率较高、接受姑息治疗在职教育、护士长对临终患者护理的支持程度较高、临终关怀病例数较多、工作岗位较高以及护士感知到的高水平支持。这六个因素解释了总方差的 16.2%。
研究结果可能有助于为中国肿瘤护士的临终关怀行为转变提供依据，并设计干预措施，以更好地提高癌症终末期患者的生活质量。
