Lee Ting-Ling, Chen Jui-O, Liu Nan-Wei, Chen Hui-Chin, Hsieh Yi-Ling, Liu Shih-Feng, Liu Jui-Fang, Lin Hui-Ling
Department of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan.
Department of Nursing, Tajen University, Pingtung 90741, Taiwan.
Healthcare (Basel). 2024 Aug 1;12(15):1533. doi: 10.3390/healthcare12151533.
Respiratory therapists (RTs) frequently encounter death in their work with critically ill patients. Healthcare providers' attitudes toward death significantly affect their approach to caring for dying patients; however, there is a lack of knowledge on RTs' attitudes toward death. This study examines how the work environment and personal characteristics of RTs influence their attitudes toward death. Utilizing the Death Attitude Profile-Revised-Chinese questionnaire, a cross-sectional survey compared non-critical care RTs (non-CCRTs, N = 86) to critical care RTs (CCRTs, N = 85). Non-CCRTs displayed significantly lower scores in overall acceptance of death compared to CCRTs ( = 0.015) and a tendency to actively avoid thoughts about death ( = 0.005). CCRTs scored higher in "neutral acceptance" ( = 0.015), and non-CCRTs exhibited higher scores on items reflecting a negative attitude toward death. RTs with shorter professional tenures showed heightened fear of death and avoidance tendencies. Perception of life and death education correlated with higher "fear of death" and "death avoidance" scores ( = 0.001). The findings indicate that CCRTs demonstrate a more neutral acceptance of death. Additionally, experience, sex, mental health status, and life-death education exposure significantly influence RTs' attitudes toward death.
呼吸治疗师(RTs)在照顾重症患者的工作中经常会遇到死亡情况。医疗保健提供者对死亡的态度会显著影响他们照顾临终患者的方式;然而,目前缺乏关于呼吸治疗师对死亡态度的相关知识。本研究探讨了呼吸治疗师的工作环境和个人特征如何影响他们对死亡的态度。利用修订后的中文版死亡态度量表问卷,一项横断面调查对非重症护理呼吸治疗师(非CCRTs,N = 86)和重症护理呼吸治疗师(CCRTs,N = 85)进行了比较。与CCRTs相比,非CCRTs在对死亡的总体接受度上得分显著更低(P = 0.015),并且有积极回避死亡相关想法的倾向(P = 0.005)。CCRTs在“中立接受”方面得分更高(P = 0.015),而非CCRTs在反映对死亡持消极态度的项目上得分更高。专业任期较短的呼吸治疗师表现出对死亡的恐惧加剧和回避倾向。对生死教育的认知与更高的“死亡恐惧”和“死亡回避”得分相关(P = 0.001)。研究结果表明,CCRTs对死亡表现出更中立的接受态度。此外,经验、性别、心理健康状况和生死教育接触情况会显著影响呼吸治疗师对死亡的态度。