Park Youngmi, Nam Keumhee, Bae Joohee
Department of Nursing, Kyung Hee University Medical Center E&C Jungang General Hospital, Kimhae, Korea.
College of Nursing, Kosin University, Busan, Korea.
J Hosp Palliat Care. 2021 Mar 1;24(1):36-45. doi: 10.14475/jhpc.2021.24.1.36.
This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.
The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.
Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).
Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.
本研究探讨了护理专业大学生的维持生命治疗计划知识与对撤除维持生命治疗的态度之间的关系，并试图确定角色认知在该关系中对维持生命治疗的中介作用。希望这些研究结果最终能有助于制定积极的护理策略。
研究对象为142名在Y市和C市两所大学经历过临床实习的护理专业大三和大四学生。数据于2019年11月1日至30日收集。数据分析使用Windows版SPSS 22.0计算描述性统计量、t检验、Pearson相关系数和多元回归。为分析中介效应，采用Baron和Kenny自抽样法。
护理专业大学生对撤除维持生命治疗的态度与维持生命治疗计划知识(r = 0.34，P < 0.001)和维持生命治疗的角色认知(r = 0.44，P < 0.001)显著正相关。维持生命治疗的角色认知部分中介了维持生命治疗计划知识与对撤除维持生命治疗态度之间的关系(95% CI，0.446~1.055)。
基于本研究结果，提高护理专业大学生对维持生命治疗的角色认知可作为一种应对策略，以建立对撤除维持生命治疗的积极态度。
