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新生儿重症监护病房护士对死亡的认知、临终关怀压力及情商对其临终关怀态度的影响

Influence of Perceptions of Death, End-of-Life Care Stress, and Emotional Intelligence on Attitudes towards End-of-Life Care among Nurses in the Neonatal Intensive Care Unit.

作者信息

Park Ju-Young, Oh Jina

机构信息

Adjunct Professor, Dongwon Institute of Science and Technology, Busan, Korea.

Professor, Department of Nursing, School of Medicine, Inje University, Busan, Korea.

出版信息

Child Health Nurs Res. 2019 Jan;25(1):38-47. doi: 10.4094/chnr.2019.25.1.38. Epub 2019 Jan 29.

Abstract

PURPOSE

The purpose of this study was to investigate the influence of perceptions of death, end-of-life (EOL) care stress, and emotional intelligence on attitudes toward EOL care among nurses in the neonatal intensive care unit (NICU).

METHODS

The participants were 111 nurses working in a NICU who had experienced EOL care at least once. Data were analyzed using the t-test, Pearson correlation coefficient, and stepwise multiple regression analysis in SPSS for Windows.

RESULTS

The mean score for perceptions of death was 3.16 out of 5, the mean score for EOL care stress was 3.61 out of 5, the mean emotional intelligence score was 4.66 out of 7, and the average score for EOL care attitudes was 2.77 out of 4. The factors affecting attitudes towards EOL care were academic degree, anxiety regarding death, negativity towards death, experiences of patient death, and emotional intelligence. The explanatory power of these variables for attitudes towards EOL care was 24.7%.

CONCLUSION

The results of this study are expected to serve as a basic reference for the development of nursing education programs and EOL care protocols to improve attitudes toward EOL care among NICU nurses.

摘要

目的

本研究旨在调查新生儿重症监护病房(NICU)护士对死亡的认知、临终(EOL)护理压力和情商对其临终护理态度的影响。

方法

研究对象为111名在NICU工作且至少经历过一次临终护理的护士。使用Windows版SPSS中的t检验、Pearson相关系数和逐步多元回归分析对数据进行分析。

结果

死亡认知的平均得分为5分制中的3.16分,临终护理压力的平均得分为5分制中的3.61分,情商平均得分为7分制中的4.66分,临终护理态度的平均得分为4分制中的2.77分。影响临终护理态度的因素包括学历、对死亡的焦虑、对死亡的消极态度、患者死亡经历和情商。这些变量对临终护理态度的解释力为24.7%。

结论

本研究结果有望为制定护理教育计划和临终护理方案提供基础参考,以改善NICU护士对临终护理的态度。

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