Li Ling, Wang Fang, Liang Qian, Lin Lunwei, Shui Xiaoling
School of Nursing, Chengdu University of TCM, Chengdu, Sichuan, China.
Director's Office, Guang'an Hospital of Traditional Chinese Medicine, Guang'an, Sichuan, China
BMJ Support Palliat Care. 2023 Jun 27. doi: 10.1136/spcare-2022-004104.
Lack of knowledge about palliative care is one of the most common reasons for hindering the delivery of high-quality palliative care. Nurses play a major role in providing palliative care, and the degree of their mastery of this knowledge is crucial to whether they can effectively deliver the ideal palliative care. Therefore, it is necessary to understand the level of palliative care knowledge in this population. As of 8 November 8, 2022, we performed systematic searches in 10 databases. Meta-analysis of quantitative data that measuring the level of palliative care knowledge of nurses using the Palliative Care Quiz for Nursing (PCQN) was conducted using Stata software (version: V.15). A pooled mean score <10 indicated a low/insufficient knowledge level. The funnel plot and Egger's regression test were used to detect publication bias, and finally, the robustness of the results was evaluated through sensitivity analysis. The pooled mean score for the level of nurses' knowledge of palliative care was 9.68 (95% CI: 9.40 to 9.96). Among the three dimensions of the PCQN scale, the pooled mean score for the '"Philosophy and Principles of Palliative Care'" section was 1.73 (95% CI: 1.38 to 2.08); the '"Pain and Other Symptom Control'" section was 6.73 (95% CI: 6.41 to 7.05); and the '"Psychological, Spiritual and Social Care'" section was 1.21 (95% CI: 0.72 to 1.69). It can be seen that nurses' mastery of palliative care knowledge is not sufficient. It is recommended that relevant departments formulate and promote the implementation of targeted measures to improve the knowledge level of this population.
对姑息治疗缺乏了解是阻碍提供高质量姑息治疗的最常见原因之一。护士在提供姑息治疗方面发挥着主要作用,他们对这方面知识的掌握程度对于能否有效提供理想的姑息治疗至关重要。因此,有必要了解这一人群的姑息治疗知识水平。截至2022年11月8日,我们在10个数据库中进行了系统检索。使用Stata软件(版本:V.15)对通过《护理姑息治疗测验》(PCQN)测量护士姑息治疗知识水平的定量数据进行荟萃分析。合并平均得分<10表明知识水平较低/不足。采用漏斗图和Egger回归检验来检测发表偏倚,最后通过敏感性分析评估结果的稳健性。护士姑息治疗知识水平的合并平均得分为9.68(95%置信区间:9.40至9.96)。在PCQN量表的三个维度中,“姑息治疗的理念和原则”部分的合并平均得分为1.73(95%置信区间:1.38至2.08);“疼痛和其他症状控制”部分为6.73(95%置信区间:6.41至7.05);“心理、精神和社会护理”部分为1.21(95%置信区间:0.72至1.69)。可以看出,护士对姑息治疗知识的掌握并不充分。建议相关部门制定并推动实施有针对性的措施,以提高这一人群的知识水平。