影响三级医院护士临终关怀能力的因素
Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses.
作者信息
Jeong Da-In, Eun Young
机构信息
Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea.
College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
出版信息
Hanguk Hosupisu Wanhwa Uiryo Hakhoe Chi. 2020 Sep 1;23(3):139-150. doi: 10.14475/kjhpc.2020.23.3.139.
PURPOSE
The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses.
METHODS
The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0.
RESULTS
The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001).
CONCLUSION
In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.
目的
本研究旨在调查三级护理护士的临终关怀能力水平；关于预立医疗指示的知识、态度和经历；对善终的看法；以及临终关怀的障碍和支持行为。
方法
研究对象为韩国晋州一家三级医院的150名护士。使用问卷调查收集的数据，采用描述性统计、t检验、方差分析、Pearson相关系数以及Windows版SPSS 24.0中的逐步多元回归进行分析。
结果
在5分制量表上，临终关怀能力的平均（±标准差）得分为3.63（±0.53）。根据护士是否经历过家庭成员或熟人的死亡，临终关怀能力存在显著差异（P = 0.029）。根据逐步多元回归分析，影响临终关怀能力的因素包括临终关怀支持行为的频率（β = 0.38，P < 0.001）、预立医疗指示的经历（β = 0.29，P < 0.001）和婚姻状况（β = 0.15，P = 0.039）。该模型的解释力为27.9%（F = 18.87，P < 0.001）。
结论
为提高护士的临终关怀能力，重要的是通过让护士接触这些行为并提供频繁的预立医疗指示体验来加强临终关怀支持行为。
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