Liu Cuixia, Liu Xiulan, Yan Xiashu, Chen Xiaodong, He Xucong, Liu Jian, Zeng Tianyu
Department of Chronic Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, China.
Front Psychol. 2025 Apr 23;16:1575655. doi: 10.3389/fpsyg.2025.1575655. eCollection 2025.
This study aims to assess the current status of palliative care knowledge and identify the factors influencing it among healthcare workers in mental health institutions. The goal is to establish a scientific foundation for advancing palliative care practices in mental health settings.
From August to September 2024, a survey was conducted to assess psychiatric nurses' knowledge of palliative care. The study involved nurses from 47 mental health organizations in Guangdong Province, using general information and The Palliative Care Quiz for Nursing. Influencing factors were analyzed using one-way analysis of variance and multiple regression analysis.
A total of 625 psychiatric nurses completed valid questionnaires. The average score was 10.307 ± 3.305. Only 15.65% of nurses had attended palliative care training, while 29.39% demonstrated knowledge. It was significantly correlated with professional title ( = 0.164), marital status ( = 0.087), witnessing the death of a terminally ill patient or relative ( = 0.117), prior study ( = 0.164), willingness to engage in ( = 0.152), having children ( = 0.100), and performing cadaveric care ( = 0.086) (all with < 0.05). Professional title ( = 0.497), academic qualification ( = 0.708), and witnessing the death of a terminally ill patient or relative ( = 0.932) significantly influenced it (all < 0.05).
Psychiatric nurses demonstrate limited awareness of palliative care, with a low percentage having received relevant training. However, there are a large number of long-term hospitalized psychiatric patients, it is crucial to provide systematic and specialized palliative care training for psychiatric nurses.
本研究旨在评估精神卫生机构医护人员姑息治疗知识的现状，并确定影响其知识水平的因素。目标是为推进精神卫生环境中的姑息治疗实践奠定科学基础。
2024年8月至9月，开展一项调查以评估精神科护士的姑息治疗知识。该研究涉及广东省47家精神卫生机构的护士，采用一般信息和《护理姑息治疗测验》。使用单因素方差分析和多元回归分析对影响因素进行分析。
共有625名精神科护士完成有效问卷。平均得分为10.307±3.305。仅有15.65%的护士参加过姑息治疗培训，而29.39%的护士具备相关知识。其与职称（=0.164）、婚姻状况（=0.087）、目睹绝症患者或亲属死亡（=0.117）、既往学习经历（=0.164）、参与意愿（=0.152）、育有子女（=0.100）以及进行尸体护理（=0.086）均显著相关（均P<0.05）。职称（=0.497）、学历（=0.708）以及目睹绝症患者或亲属死亡（=0.932）对其有显著影响（均P<0.05）。
精神科护士对姑息治疗的认知有限，接受相关培训的比例较低。然而，精神科有大量长期住院患者，为精神科护士提供系统、专业的姑息治疗培训至关重要。
