儿科医护人员对儿童舒缓治疗知识、态度和行为的影响因素：一项在中国开展的横断面调查。
Influencing factors of knowledge, attitude and behavior in children's palliative care among pediatric healthcare workers: a cross-sectional survey in China.
机构信息
Nursing Teaching and Research Section, Hunan Cancer Hospital/The Afliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Department of Nursing, Hunan Children's Hospital, Changsha, China.
出版信息
BMC Palliat Care. 2023 Jun 7;22(1):67. doi: 10.1186/s12904-023-01187-4.
BACKGROUND
Palliative care has become a key medical field worldwide. Although research relating to adult palliative care is well-established, less is known about children's palliative care (CPC). Therefore, this study investigated the knowledge, attitude and behavior of pediatric healthcare workers (PHWs) regarding CPC and analyzed the influencing factors for the implementation and development of CPC.
METHODS
A cross-sectional survey of 407 PHWs was carried out in a Chinese province from November 2021 to April 2022. The questionnaire consisted of two parts: a general information form and questions on the knowledge, attitude and behavior of PHWs about CPC. Data were analyzed using t-test, ANOVA and multiple regression analysis.
RESULTS
The total score of the PHWs' knowledge, attitude and behavior about CPC was 69.98, which was at a moderate level. PHWs' CPC knowledge, attitude, and behavior are positively correlated.The most important influencing factors were working years, highest education, professional title, job position, marital status, religion, grade of hospital (I, II or III), type of medical institution, experience of caring for a terminally ill child/kinsfolk and total hours of CPC education and training received.
CONCLUSIONS
In this study, PHWs in a Chinese province had the lowest scores on the knowledge dimension of CPC, with moderate attitude and behavior and various influencing factors. In addition to professional title, highest education and working years, it is also worth noting that the type of medical institution and marital status also affected the score. Continuing education and training of PHWs in CPC should be emphasized by the administrators of relevant colleges and medical institutions. Future research should start with the above-mentioned influencing factors and focus on setting up targeted training courses and evaluating the post-training effects.
背景
缓和医疗已成为全球范围内的一个重要医学领域。尽管成人缓和医疗的相关研究已较为成熟，但儿童缓和医疗（CPC）的研究则相对较少。因此，本研究旨在调查儿科医护人员（PHWs）对 CPC 的认知、态度和行为，并分析影响 CPC 实施和发展的因素。
方法
2021 年 11 月至 2022 年 4 月，对中国某省的 407 名 PHWs 进行了横断面调查。问卷包括两部分：一般信息表和 PHWs 对 CPC 的认知、态度和行为的问题。采用 t 检验、方差分析和多元回归分析进行数据分析。
结果
PHWs 对 CPC 的认知、态度和行为总分为 69.98 分，处于中等水平。PHWs 的 CPC 知识、态度和行为呈正相关。最重要的影响因素是工作年限、最高学历、职称、工作岗位、婚姻状况、宗教信仰、医院等级（I、II 或 III）、医疗机构类型、照顾临终儿童/亲属的经验和 CPC 教育和培训总时长。
结论
在这项研究中，中国某省的 PHWs 在 CPC 知识维度的得分最低，态度和行为中等，影响因素多样。除了职称、最高学历和工作年限外，医疗机构类型和婚姻状况也值得关注。应强调相关院校和医疗机构管理者对 PHWs 进行 CPC 继续教育和培训。未来的研究应从上述影响因素入手，重点设置有针对性的培训课程并评估培训后的效果。
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