Mohammadi Arman, Tahmasebi Mamak, Mojen Leila Khanali, Rassouli Maryam, Ashrafizadeh Hadis
Department of Paediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Radiotherapy and Oncology, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
Indian J Palliat Care. 2021 Oct-Dec;27(4):513-520. doi: 10.25259/IJPC_90_21. Epub 2021 Sep 9.
The present study aims to determine the attitudes of care providers including obstetricians, paediatricians and midwives working in perinatal, obstetric and neonatal intensive care unit (NICU) wards of the selected teaching hospitals in Tehran in 2019. In addition, the challenges of providing palliative care from the perspective of these individuals have been examined.
In this descriptive study, the research population was selected through convenience sampling based on the inclusion criteria. To assess care providers' attitude toward the perinatal palliative care and the challenges of its implementation, in addition to the questionnaire of demographic characteristics, a researcher-made questionnaire was also used.
Most of the care providers (90.5%) believed that parents should be involved in decision-making to select the treatment type. Most of the care providers (90%) believed that the lack of prepared infrastructures is one of the major challenges in providing these types of care.
Care providers have almost positive attitudes toward the various dimensions of providing perinatal palliative care, but it has not been properly implemented yet due to the insufficient knowledge of this type of care, the lack of required infrastructures (appropriate conditions in NICUs to provide this type of care, the sufficient number of staff and experts in this field), as well as the health authorities' neglecting this type of care.
本研究旨在确定2019年在德黑兰选定的教学医院的围产期、产科和新生儿重症监护病房（NICU）工作的护理人员（包括产科医生、儿科医生和助产士）的态度。此外，还从这些人员的角度审视了提供姑息治疗所面临的挑战。
在这项描述性研究中，研究人群通过基于纳入标准的便利抽样选定。为评估护理人员对围产期姑息治疗的态度及其实施面临的挑战，除了人口统计学特征问卷外，还使用了研究者自制的问卷。
大多数护理人员（90.5%）认为父母应参与治疗类型选择的决策。大多数护理人员（90%）认为缺乏完善的基础设施是提供这类护理的主要挑战之一。
护理人员对提供围产期姑息治疗的各个方面几乎持积极态度，但由于对这类护理的知识不足、缺乏所需基础设施（NICU中提供这类护理的适当条件、该领域足够数量的工作人员和专家）以及卫生当局对这类护理的忽视，其尚未得到妥善实施。
