Abu-Aziz Baraa, Alkasseh Areefa S M, Bayuo Jonathan, Abu-Odah Hammoda
Nasser Medical Complex Hospital, Ministry of Health, Gaza P.O. Box P860, Palestine.
Department of Midwifery, Nursing College, Islamic University of Gaza, Gaza P.O. Box P108, Palestine.
Healthcare (Basel). 2023 Jun 16;11(12):1781. doi: 10.3390/healthcare11121781.
Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff's needs and knowledge in providing PC to cardiac patients in the EMR. This study aimed to assess the level of knowledge and needs of PC among nurses towards the provision of PC in intensive coronary care units (ICCUs) in the Gaza Strip, Palestine. It also identified the barriers to the provision of PC services in ICCUs in the Gaza Strip. A hospital-based descriptive quantitative cross-sectional design was adopted to collect data from 85 nurses working in ICCUs at four main hospitals in the Gaza Strip. Knowledge about PC was collected using a developed questionnaire based on the Palliative Care Quiz Nursing Scale (PCQN) and Palliative Care Knowledge Test (PCKT). PC training needs and barriers were assessed using the PC Needs Assessment instrument. Approximately two-thirds of nurses did not receive any PC educational or training programs, which contributed to their lack of PC knowledge. Most nurses would like to enroll in PC training programs, such as family support and communications skills courses. Nurses reported that there was a high demand for PC guidelines and discharge planning for patients with chronic illnesses. Insufficient healthcare professionals' knowledge about PC and a staff shortage were the main barriers to integrating PC into the Gaza healthcare system. This study suggests incorporating PC into nursing curricula and in-service training, and it covers both basic and advanced PC principles. Intensive coronary care unit nurses need knowledge and training about PC, guidance, and support to provide appropriate care to patients with cardiovascular issues.
尽管姑息治疗（PC）对慢性病患者有显著益处，但在中东地区（EMR），为有心脏问题的患者提供姑息治疗仍是一个关键问题。在中东地区，评估护理人员为心脏病患者提供姑息治疗的需求和知识的研究很少。本研究旨在评估巴勒斯坦加沙地带重症冠心病监护病房（ICCUs）护士对提供姑息治疗的知识水平和需求。它还确定了加沙地带重症冠心病监护病房提供姑息治疗服务的障碍。采用基于医院的描述性定量横断面设计，从加沙地带四家主要医院的重症冠心病监护病房工作的85名护士中收集数据。使用基于姑息治疗测验护理量表（PCQN）和姑息治疗知识测试（PCKT）编制的问卷收集有关姑息治疗的知识。使用姑息治疗需求评估工具评估姑息治疗培训需求和障碍。大约三分之二的护士没有接受过任何姑息治疗教育或培训项目，这导致了他们缺乏姑息治疗知识。大多数护士希望参加姑息治疗培训项目，如家庭支持和沟通技巧课程。护士报告说，对慢性病患者的姑息治疗指南和出院计划有很高的需求。医疗保健专业人员对姑息治疗知识不足和人员短缺是将姑息治疗纳入加沙医疗系统的主要障碍。本研究建议将姑息治疗纳入护理课程和在职培训，涵盖姑息治疗的基本和高级原则。重症冠心病监护病房的护士需要有关姑息治疗的知识、培训、指导和支持，以便为心血管疾病患者提供适当的护理。
