Lauderbaugh Denise L, Popien Toni, Doshi Ami
Department of Respiratory Therapy, Rady Children's Hospital - San Diego, San Diego, CA.
Department of Palliative Care, Rady Children's Hospital - San Diego, San Diego, CA.
Can J Respir Ther. 2023 Mar 1;59:66-69. doi: 10.29390/cjrt-2022-001. eCollection 2023.
End-of-life care (EoLC) is difficult for respiratory therapists (RTs), causing struggles with providing EoLC and grief during and after the death.
The objective of the study was to determine if EoLC education can increase RTs' perception of knowledge of EoLC, respiratory therapy as a valuable EoLC service, comfort providing EoLC, and knowledge of ways to deal with grief.
One hundred and thirty pediatric RTs completed a 1 h EoLC education session. Afterwards, a single-centre descriptive survey was administered to the 60 volunteers out of the 130 attendees. To determine RTs' self-rated change in knowledge of EoLC, perception of respiratory therapy as a valuable EoLC service, comfort with EoLC, and knowledge of ways to cope with grief. Statistical analysis included percent change.
Overall, 96% of surveyed RTs agree they had an increase in knowledge, perception of RT services, comfort with providing care, and coping. Only 4% felt that this course had little benefit overall but still perceived value in RT EoLC and increased knowledge of long- and short-term ways to deal with grief.
Education on EoLC practices increased pediatric RTs' perception of knowledge, perceived value of respiratory therapy in EoLC, comfort with EoLC, and knowledge of coping resources.
临终关怀对呼吸治疗师（RTs）来说很困难，在提供临终关怀以及患者死亡期间和之后都会带来困扰。
本研究的目的是确定临终关怀教育是否能提高呼吸治疗师对临终关怀知识的认知、将呼吸治疗视为有价值的临终关怀服务的认知、提供临终关怀的舒适度以及应对悲伤的方法的认知。
130名儿科呼吸治疗师参加了为期1小时的临终关怀教育课程。之后，对130名参与者中的60名志愿者进行了单中心描述性调查。以确定呼吸治疗师在临终关怀知识、将呼吸治疗视为有价值的临终关怀服务的认知、对临终关怀的舒适度以及应对悲伤的方法的认知方面的自我评估变化。统计分析包括百分比变化。
总体而言，96%的接受调查的呼吸治疗师表示他们在知识、对呼吸治疗服务的认知、提供护理的舒适度以及应对方面有所提高。只有4%的人认为该课程总体益处不大，但仍认识到呼吸治疗在临终关怀中的价值，并增加了对长期和短期应对悲伤方法的认知。
临终关怀实践教育提高了儿科呼吸治疗师的知识认知、对呼吸治疗在临终关怀中价值的认知、对临终关怀的舒适度以及对应对资源的认知。
