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韩国护士对围产期丧亲护理的态度及相关压力:一项横断面调查。

Nurses' attitudes and stress related to perinatal bereavement care in Korea: a cross-sectional survey.

作者信息

Kim Eunhui, Kim Hae Won

机构信息

Department of Nursing, Seoul National University Bundang Hospital, Seongnam, Korea.

College of Nursing and The Research Institute of Nursing Science, Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, Seoul National University, Seoul, Korea.

出版信息

Korean J Women Health Nurs. 2022 Jun 30;28(2):134-144. doi: 10.4069/kjwhn.2022.05.24.1. Epub 2022 Jun 17.

Abstract

PURPOSE

A descriptive correlational survey was conducted to examine nurses' attitudes and stress related to perinatal bereavement care (PBC) and their relationships, with the ultimate goal of improving nurses' capabilities related to PBC.

METHODS

Korean nurses (N=136) who had experienced perinatal death at least once were recruited from seven hospitals. Data were analyzed using descriptive statistics. The Korean version of Nurses' Attitudes towards Perinatal Bereavement Support was assessed in terms of three subdomains (attitudes to PBC, importance of policies related to PBC, and importance of training related to PBC), and nurses' stress was measured.

RESULTS

The participants gave high scores for the attitude-related items of "giving sufficient time to bereaved parents to mourn for their dead baby" (4.54 points) and "nurses should treat bereaved parents with respect and dignity" (4.51 points), and they perceived a high level of importance for the policy-related items of "every staff member in the hospital should understand the policies relevant for PBC" and "when nurses feel emotional exhaustion, they should seek support" (4.58 points). Nurses' attitude toward PBC was associated with the perceived importance of policies (r=.40, <.001), the perceived importance of PBC-related training (r=.61, <.001), and stress related to PBC (r=.29, <.001). Nurses' perceived importance of PBC-related training was associated with stress related to PBC (r=.38, <.001).

CONCLUSION

Establishing hospital policies related to PBC and providing PBC training for nurses could positively affect nurses' attitudes toward PBC. A stress management program for nurses could reduce the stress caused by PBC.

摘要

目的

开展一项描述性相关性调查,以考察护士对围产期丧亲照护(PBC)的态度和压力及其相互关系,最终目标是提高护士在PBC方面的能力。

方法

从七家医院招募了至少经历过一次围产期死亡的韩国护士(N = 136)。使用描述性统计方法对数据进行分析。对《护士对围产期丧亲支持的态度》的韩语版本从三个子领域(对PBC的态度、与PBC相关政策的重要性、与PBC相关培训的重要性)进行评估,并测量护士的压力。

结果

参与者对“给丧亲父母足够时间哀悼他们死去的婴儿”(4.54分)和“护士应以尊重和尊严对待丧亲父母”(4.51分)等与态度相关的项目给出高分,并且他们认为“医院的每个工作人员都应了解与PBC相关的政策”和“当护士感到情绪疲惫时,他们应寻求支持”(4.58分)等与政策相关的项目非常重要。护士对PBC的态度与对政策重要性的认知(r = 0.40,<.001)、对PBC相关培训重要性的认知(r = 0.61,<.001)以及与PBC相关的压力(r = 0.29,<.001)相关。护士对PBC相关培训重要性的认知与与PBC相关的压力相关(r = 0.38,<.001)。

结论

制定与PBC相关的医院政策并为护士提供PBC培训可能会对护士对PBC的态度产生积极影响。为护士制定压力管理计划可以减轻PBC带来的压力。

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