Liu Wei, Su Yu-Jie, Zhou Si-Jia, Deng Wu-Hong, Hu Hong-Ying, Cui Qing, Fang An-Shuai, Peng Yue-Ming, Luo Wei-Xiang
Department of the Nursing, The Second Clinical Medical College, The First Affiliated Hospital, Shenzhen People's Hospital, Jinan University, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, China.
Department of the Geriatrics, The Second Clinical Medical College, The First Affiliated Hospital, Shenzhen People's Hospital, Jinan University, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, China.
BMC Palliat Care. 2025 Apr 26;24(1):117. doi: 10.1186/s12904-025-01754-x.
The ability of geriatric nurses to cope with death affects both their physical and mental health, as well as the quality of the hospice services they provide. The aim of this study was to investigate the death coping ability, death attitude, and professional quality of life of geriatric nurses, analyse the influencing factors of death coping ability, and explore the correlations among them.
A multicentre cross-sectional study design was used and reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.
From October to November 2024, a convenience sampling method was used to survey 357 geriatric nurses from 9 hospitals in 8 provinces and cities, including Guangdong and Hubei, China, as the research subjects. The general information questionnaire, Coping With Death Scale (CDS), Death Attitude Profile-Revised (DAP-R), and Nurse Professional Quality of Life Scale were used for the investigation.
The death coping ability score of the geriatric nurses was 135.23 ± 33.04 points, the total death attitude score was 96.65 ± 21.04 points, and the total raw professional quality of life score was 90.00 ± 11.91 points. Pearson correlation analysis revealed that the death coping ability of geriatric nurses was positively correlated with death attitudes, negatively correlated with secondary trauma and occupational burnout, and positively correlated with compassion satisfaction. Regression analysis revealed that age, frequency of sharing experiences of caring for terminally ill patients with others, participation in death-related courses or training, attitude towards death, and professional quality of life were factors influencing geriatric nurses' ability to cope with death (P < 0.05).
The death coping ability of geriatric nurses is moderate and is related to death attitude and professional quality of life. Nursing managers are encouraged to enhance death education or training for geriatric nurses to help them develop a positive attitude towards death, pay attention to the quality of professional life of geriatric nurses and improve their ability to cope with death.
老年护理人员应对死亡的能力会影响其身心健康以及所提供临终关怀服务的质量。本研究旨在调查老年护理人员的死亡应对能力、死亡态度和职业生活质量，分析死亡应对能力的影响因素，并探讨它们之间的相关性。
采用多中心横断面研究设计，并按照《加强流行病学观察性研究报告规范》（STROBE）清单进行报告。
2024年10月至11月，采用便利抽样法，对来自中国广东、湖北等8个省市9家医院的357名老年护理人员进行调查，作为研究对象。采用一般信息问卷、死亡应对量表（CDS）、修订版死亡态度量表（DAP-R）和护士职业生活质量量表进行调查。
老年护理人员的死亡应对能力得分为135.23±33.04分，死亡态度总分为96.65±21.04分，职业生活质量总原始得分为90.00±11.91分。Pearson相关分析显示，老年护理人员的死亡应对能力与死亡态度呈正相关，与继发性创伤和职业倦怠呈负相关，与同情满足感呈正相关。回归分析显示，年龄、与他人分享照顾临终患者经历的频率、参与与死亡相关的课程或培训、对死亡的态度以及职业生活质量是影响老年护理人员死亡应对能力的因素（P<0.05）。
老年护理人员的死亡应对能力处于中等水平，且与死亡态度和职业生活质量有关。鼓励护理管理者加强对老年护理人员的死亡教育或培训，帮助他们树立积极的死亡态度，关注老年护理人员的职业生活质量，提高其死亡应对能力。
