Lee Seul, Hong Suyoun, Park Sojung, Lim Soojung
St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
J Hosp Palliat Care. 2023 Sep 1;26(3):112-125. doi: 10.14475/jhpc.2023.26.3.112.
This study investigated knowledge, attitudes, and nursing stress related to life-sustaining treatment among oncology nurses.
A descriptive study design was used. Data were collected through a survey from April 1 to May 31, 2022. The participants were 132 nurses working in the oncology ward of a tertiary hospital in Seoul. Data were analyzed using the SPSS 25.0 program with descriptive statics, the independent t-test, analysis of variance, and Pearson correlation coefficients.
The average scores for knowledge, attitudes, and nursing stress related to life-sustaining treatment were 14.42, 3.29, and 3.96, respectively. Significant differences in knowledge about life-sustaining treatment were observed based on clinical experience (P=0.029) and education about life-sustaining treatment (P=0.044). Attitudes toward life-sustaining treatment varied significantly with education about life-sustaining treatment (P=0.014), while stress levels differed significantly across working units (P=0.004). A positive correlation was found between the dilemma of extending or stopping life-sustaining treatment (a subdomain of nursing stress) and attitudes toward life-sustaining treatment (r=0.260, P=0.003).
There was no significant correlation between the nursing stress experienced by oncology nurses and their knowledge and attitudes toward life-sustaining treatment. However, a more positive experience with life-sustaining treatment education was associated with higher stress levels related to the dilemma of extending or stopping life-sustaining treatment. Therefore, it is crucial to develop strategies to manage this dilemma and reduce stress in the field.
本研究调查了肿瘤护士对维持生命治疗的知识、态度及护理压力。
采用描述性研究设计。于2022年4月1日至5月31日通过问卷调查收集数据。研究对象为首尔一家三级医院肿瘤病房的132名护士。使用SPSS 25.0程序对数据进行描述性统计、独立t检验、方差分析和Pearson相关系数分析。
与维持生命治疗相关的知识、态度及护理压力的平均得分分别为14.42、3.29和3.96。基于临床经验（P=0.029）和维持生命治疗教育（P=0.044），观察到维持生命治疗知识存在显著差异。对维持生命治疗的态度因维持生命治疗教育而有显著差异（P=0.014），而压力水平在不同工作单位间存在显著差异（P=0.004）。在延长或停止维持生命治疗的困境（护理压力的一个子领域）与对维持生命治疗的态度之间发现正相关（r=0.260，P=0.003）。
肿瘤护士所经历的护理压力与其对维持生命治疗的知识和态度之间无显著相关性。然而，维持生命治疗教育方面更积极的体验与延长或停止维持生命治疗困境相关的更高压力水平有关。因此，制定管理这一困境并减轻该领域压力的策略至关重要。
