护士对姑息治疗的认知、态度及相关因素：一项横断面描述性研究。
Knowledge and attitude towards palliative care and associated factors among nurse: a cross-sectional descriptive study.
作者信息
Rafiee Saeedeh, Azizi-Fini Ismail, Banihashemi Zahra-Sadat, Yadollahi Safoura
机构信息
Department of Critical Care Nursing and Emergency, Kashan University of Medical sciences, Kashan, Iran.
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
出版信息
BMC Nurs. 2024 Dec 23;23(1):947. doi: 10.1186/s12912-024-02598-1.
BACKGROUND
Palliative care is defined as basic care that is provided for patients who suffer from pain and suffering due to illness. These cares are primarily provided by nurses, so their knowledge and attitude play a significant role in this area. In this study, the aim was to investigate nurses' knowledge and attitudes regarding palliative and supportive care, as well as related factors.
METHODS
The present study is a cross-sectional, descriptive study that was conducted on 370 nurses working in Shahid Behaeshti hospital randomly selected between February to May 2023 in Kashan, Iran. The questionnaire of demographic and professional information, knowledge and attitude was completed by the samples in the form of self-reporting. The data were analyzed using descriptive statistics, independent sample t-tests and univariate regression.
RESULTS
The mean knowledge score of nurses was 10.16 ± 2.16, and the attitude score was 55.32 ± 10.56. Knowledge scores were higher for nurses (p = 0.02), nurses with experience caring for dying patients (p = 0.002), and nurses with job satisfaction (p = 0.02). The mean attitude score among nurses who attended a palliative care training course was also higher (p = 0.03). There were several predictors of knowledge, including age, bachelor's degree, experience caring for a dying patient, being a head nurse, and job satisfaction (R = 0.062, Adjusted R = 0.055, p < 0.05). It was determined that work experience, experience with an ill patient, palliative care training and feeling the need to have training as predictors of attitudes towards palliative care (R = 0.129, Adjusted R = 0.110, p < 0.05).
CONCLUSIONS
It is concluded that holding palliative care training courses and paying attention to the obstacles that prevent the implementation of this care are necessary and important in order to improve nurses' knowledge and attitudes.
背景
姑息治疗被定义为为因疾病而遭受痛苦的患者提供的基本护理。这些护理主要由护士提供，因此他们的知识和态度在这一领域起着重要作用。在本研究中，目的是调查护士对姑息和支持性护理的知识和态度以及相关因素。
方法
本研究是一项横断面描述性研究，于2023年2月至5月在伊朗卡尚随机选取了370名在沙希德·贝赫什提医院工作的护士进行。人口统计学和专业信息、知识和态度问卷由样本以自我报告的形式完成。数据采用描述性统计、独立样本t检验和单变量回归进行分析。
结果
护士的知识平均得分是10.16±2.16，态度得分是55.32±10.56。护士（p = 0.02）、有照顾临终患者经验的护士（p = 0.002）和对工作满意的护士（p = 0.02）的知识得分更高。参加姑息治疗培训课程的护士的平均态度得分也更高（p = 0.03）。知识的几个预测因素包括年龄、学士学位、照顾临终患者的经验、担任护士长以及工作满意度（R = 0.062，调整后R = 0.055，p < 0.05）。确定工作经验、照顾患病患者的经验、姑息治疗培训以及感觉有必要接受培训是对姑息治疗态度的预测因素（R = 0.129，调整后R = 0.110，p < 0.05）。
结论
得出的结论是，为了提高护士的知识和态度，举办姑息治疗培训课程并关注阻碍这种护理实施的障碍是必要且重要的。
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