精神健康与对临终患者护理的态度：一项针对伊朗护理专业学生的横断面研究。
Spiritual well-being and attitudes toward caring for dying patients: a cross-sectional study in Iranian nursing students.
作者信息
Nassehi Asra, Jafari Javad, Arbabisarjou Azizollah, Sadeghi Hajar, Jafari Mojtaba, Saberi Najmeh
机构信息
Department of Nursing, Bam University of Medical Sciences, Bam, Iran.
Department of Nursing, Community Nursing Research Center, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
出版信息
BMC Palliat Care. 2025 Feb 18;24(1):45. doi: 10.1186/s12904-025-01688-4.
BACKGROUND
The concept of death is one of the most significant issues in the nursing profession. To provide effective and comprehensive end-of-life care, nursing students, as future nurses, should have spiritual well-being (SWB) and a proper attitude toward the care of dying patients (ATCODP). The present study was conducted to investigate the relationship between the level of SWB and ATCODP of Iranian nursing students in 2019.
METHODS
This descriptive-correlational study was conducted on 139 nursing students at Bam University of Medical Sciences who were selected by the census method. To collect data, a three-part questionnaire consisting of personal information, the Paloutzian & Ellison SWB scale, and the Frommelt Attitude Toward Care of the Dying (FATCOD) scale were used. The data were analyzed by IBM SPSS version 20.
RESULTS
The mean age of the participants was 21.63 ± 3.23 years. The mean score of SWB in 98 (70.5%) nursing students was moderate, and 41 of them (29.5%) had a high score. The correlation coefficient between religious and existential health with a total score of SWB was 88% and 86%, respectively. According to Pearson's test, a significant relationship was observed between ATCODP, SWB, and its dimensions (P < 0.05).
CONCLUSION
A significant relationship was observed between ATCODP, SWB, and its dimensions. Considering that most nursing students have a moderate level of spiritual well-being, measures should be taken to improve it during their studies. Because improving SWB in students will prepare future nurses for better quality care of dying patients and enhance their positive attitude toward death.
背景
死亡概念是护理专业中最重要的问题之一。为了提供有效且全面的临终关怀，护理专业学生作为未来的护士，应具备精神健康（SWB）以及对临终患者护理的正确态度（ATCODP）。本研究旨在调查2019年伊朗护理专业学生的精神健康水平与对临终患者护理态度之间的关系。
方法
本描述性相关性研究对设拉子医科大学的139名护理专业学生进行，采用普查法选取。为收集数据，使用了一份由个人信息、帕洛茨安和埃里森精神健康量表以及弗罗梅尔临终关怀态度量表（FATCOD）组成的三部分问卷。数据采用IBM SPSS 20版进行分析。
结果
参与者的平均年龄为21.63±3.23岁。98名（70.5%）护理专业学生的精神健康平均得分中等，其中41名（29.5%）得分较高。宗教与存在性健康与精神健康总分的相关系数分别为88%和86%。根据皮尔逊检验，观察到对临终患者护理态度、精神健康及其维度之间存在显著关系（P<0.05）。
结论
观察到对临终患者护理态度、精神健康及其维度之间存在显著关系。鉴于大多数护理专业学生的精神健康水平中等，在其学习期间应采取措施加以改善。因为提高学生的精神健康水平将使未来的护士能够为临终患者提供更高质量的护理，并增强他们对死亡的积极态度。
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