Rashidi Mahruk, Karaman Funda, Yildirim Gülay, Kiskaç Neşe, Ünsal Jafarov Gülşah, Saygin Şahin Buse
Faculty of Health Sciences, Department of Nursing, Istanbul Gelisim University, Istanbul, Turkey.
Department of Nursing, Trakya University, Kesan Hakki Yoruk School of Health, Edirne, Turkey.
BMC Nurs. 2023 Aug 24;22(1):281. doi: 10.1186/s12912-023-01405-7.
Nurses in critical care and palliative care units care for patients suffering from severe pain and suffering and at high mortality risk. For this reason, nurses working in these units should be psychologically resilient. However, nurses who are constantly exposed to the death process face the risk of thanatophobia. The aim of this study is to examine the relationship between thanatophobia levels and the psychological resilience of nurses working in intensive care and palliative care units.
The sample of this descriptive and cross-sectional study included 158 nurses working in intensive care and palliative care units. Personal information form for nurses, Thanatophobia Scale and Psychological Resilience Scale for Adults were used. Data were collected through an online questionnaire in the study. Percentage calculations, mean measurements, Kruskal Wallis test and Mann Whitney U test were used in the statistical evaluation of the data.
The mean of thanatophobia scale and psychological resilience scale was found 31.74 ± 10.08 and 108.34 ± 7.12, respectively. There was a statistically significant difference between the tanatophobia total scale score and age, receiving training on psychological resilience (p < 0.05). A statistically significant difference was found between perseption of self, family cohesion and perception of future and the status of receiving training on psychological resilience (p < 0.05). A statistically negative significant correlation was determined between the thanatophobia scale and the psychological resilience scale total scores.
As a result, it was determined that as the thanatophobia of the nurses increased, their psychological resilience decreased. This situation may negatively affect nurses working in critical departments to provide quality health care to patients. Establishing and maintaining training programs to reduce thanatophobia and increase psychological resilience of nurses working in intensive care and palliative care units will ensure that nurses provide quality health care to the patient and reduce the physiological and psychological wear of nurses.
重症监护病房和姑息治疗病房的护士负责照顾遭受剧痛和苦难且死亡风险高的患者。因此，在这些病房工作的护士应具备心理韧性。然而，经常接触死亡过程的护士面临着死亡恐惧的风险。本研究的目的是探讨重症监护病房和姑息治疗病房护士的死亡恐惧水平与心理韧性之间的关系。
本描述性横断面研究的样本包括158名在重症监护病房和姑息治疗病房工作的护士。使用了护士个人信息表、死亡恐惧量表和成人心理韧性量表。本研究通过在线问卷收集数据。在数据的统计评估中使用了百分比计算、均值测量、Kruskal Wallis检验和Mann Whitney U检验。
死亡恐惧量表和心理韧性量表的均值分别为31.74±10.08和108.34±7.12。死亡恐惧总量表得分与年龄、接受心理韧性培训之间存在统计学显著差异（p<0.05）。自我认知、家庭凝聚力和未来认知与接受心理韧性培训的状况之间存在统计学显著差异（p<0.05）。死亡恐惧量表和心理韧性量表总分之间存在统计学负相关。
结果表明，随着护士死亡恐惧的增加，其心理韧性下降。这种情况可能会对在重症科室工作的护士为患者提供优质医疗服务产生负面影响。建立并维持培训项目以减少重症监护病房和姑息治疗病房护士的死亡恐惧并提高其心理韧性，将确保护士为患者提供优质医疗服务，并减少护士的生理和心理损耗。
