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护理专业学生对安乐死合法化、临终规划及精神层面的态度:一项定量研究。

Attitudes of nursing students towards the legalization of euthanasia, end-of-life planning and the spiritual dimension: A quantitative study.

作者信息

Ortega-Galán Ángela María, Fernández-Martínez Elia, Ibáñez-Masero Olivia, Ortiz-Amo Rocío, Gómez-Beltrán María de Piedras Albas, Ruíz-Fernández María Dolores

机构信息

Department of Nursing, University of Huelva, Huelva, Spain.

Departament of Psychology, Area of Social Work and Social Service, University of Almería, Almería, Spain.

出版信息

Nurse Educ Today. 2023 May;124:105770. doi: 10.1016/j.nedt.2023.105770. Epub 2023 Feb 24.

DOI:10.1016/j.nedt.2023.105770
PMID:36848698
Abstract

BACKGROUND

The Law on Euthanasia was approved in Spain and implemented in the health system. Nursing students must position themselves with respect to euthanasia in their work in the near future.

OBJECTIVES

To know the attitudes of nursing students towards the legalization of euthanasia, its relationship with end-of-life planning, and the spiritual dimension.

DESIGN

A cross-sectional descriptive quantitative study.

SETTINGS AND PARTICIPANTS

Study carried out with students of the Nursing Degree at the Universities of Huelva and Almería in Spain from April to July 2021.

METHODS

Attitudes towards the final phase of life, Anxiety towards death, and Attitudes towards Euthanasia questionnaires were administered. Descriptive, inferential and logistic regression statistics were calculated to determine the relationship between attitudes towards euthanasia and sociodemographic variables, end-of-life planning, and the spiritual dimension.

RESULTS

285 Nursing students with an average age of 23.58 years (SD = 8.19) participated. The scores on the attitude towards euthanasia were higher than the mean. While 70.5 % of the students were aware about advanced planning, only 2.5 % of them had made advanced plans. In religious practice and the spiritual dimension, the average score was high as they considered these elements to be of great support at the end of life. In terms of anxiety about death, the average score was significantly higher in women. Age, spiritual accompaniment and help, and the frequency with which spiritual beliefs are practiced are predictive factors for the attitude towards euthanasia.

CONCLUSIONS

Students have a positive vision of euthanasia while admitting anxiety about death. They emphasize advance planning and greater religious practice as supports for euthanasia. The need for curricular training related to moral deliberation and values that support euthanasia is clear.

摘要

背景

西班牙批准了《安乐死法》并在医疗体系中实施。护理专业学生在不久的将来工作中必须表明自己对安乐死的立场。

目的

了解护理专业学生对安乐死合法化的态度、其与临终规划的关系以及精神层面的情况。

设计

一项横断面描述性定量研究。

地点和参与者

2021年4月至7月对西班牙韦尔瓦大学和阿尔梅里亚大学护理专业学位的学生进行了研究。

方法

发放了关于对生命末期的态度、对死亡的焦虑以及对安乐死的态度的问卷。计算描述性、推断性和逻辑回归统计数据,以确定对安乐死的态度与社会人口统计学变量、临终规划和精神层面之间的关系。

结果

285名护理专业学生参与,平均年龄23.58岁(标准差=8.19)。对安乐死态度的得分高于平均分。虽然70.5%的学生了解生前预嘱,但只有2.5%的学生制定了生前预嘱。在宗教实践和精神层面,平均分较高,因为他们认为这些因素在生命末期有很大帮助。在对死亡的焦虑方面,女性的平均分显著更高。年龄、精神陪伴与帮助以及宗教信仰的践行频率是对安乐死态度的预测因素。

结论

学生对安乐死持积极看法,同时承认对死亡感到焦虑。他们强调生前预嘱和更多的宗教实践是对安乐死的支持。显然需要开展与支持安乐死的道德思考和价值观相关的课程培训。

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