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重症监护护士心理弹性水平与其临终关怀态度和行为关系的调查:一项横断面研究。

Investigation of the relationship of psychological resilience levels of ıntensive care nurses with their attitudes and behaviors towards end-of-life care: a cross-sectional study.

作者信息

Doğan Aysel, Doğan Runida, Akyol Buşra, Kanar Hediye

机构信息

Department of Surgery Nursing, Health Sciences Faculty, Toros University, Mersin, Türkiye.

Department of Surgical Nursing, Faculty of Nursing, İnönü University, Malatya, Türkiye.

出版信息

BMC Nurs. 2025 Jul 3;24(1):830. doi: 10.1186/s12912-025-03497-9.

DOI:10.1186/s12912-025-03497-9
PMID:40611233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12224419/
Abstract

PURPOSE

The present study was conducted to examine the relationship between intensive care nurses' attitudes towards end-of-life care and their psychological resilience.

METHOD

This correlational study was conducted between November 2023 and March 2023 with a total of 132 nurses working in the intensive care units of a university hospital.

RESULTS

The mean psychological resilience level of the participants was found to be moderate, and their attitudes and behaviors toward end-of-life care were also at a moderate level. The study findings indicated that married nurses demonstrated higher levels of psychological resilience, while single nurses exhibited higher scores in both the total score for end-of-life care and the care behavior subscale. It was observed that nurses holding a bachelor's or master's degree had higher care behavior scores compared to those who a non-degree nurses (p < 0.05, Bonferroni correction applied). No significant difference was found in the comparisons between associate degree graduates and other groups. The analysis further revealed that nurses with five or more years of experience demonstrated lower care behavior scores. Nurses who had worked in intensive care for at least four years demonstrated lower care behavior scores. However, the study did not reveal a statistically significant relationship between the participants' psychological resilience scores and their attitudes, care behaviors, or total scale scores.

CONCLUSION

In line with these results, it can be posited that multiple factors may influence the relationship between intensive care nurses' psychological resilience and their attitudes toward end-of-life care. To enhance these attitudes, various training sessions, seminars, and program initiatives should be developed. Additionally, future studies should be conducted with larger sample groups to further explore this relationship.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

目的

本研究旨在探讨重症监护护士对临终关怀的态度与其心理弹性之间的关系。

方法

本相关性研究于2023年11月至2023年3月进行,共有132名在某大学医院重症监护病房工作的护士参与。

结果

研究发现参与者的平均心理弹性水平为中等,他们对临终关怀的态度和行为也处于中等水平。研究结果表明,已婚护士表现出更高的心理弹性水平,而单身护士在临终关怀总分及关怀行为子量表上得分更高。观察发现,拥有学士或硕士学位的护士比无学位护士的关怀行为得分更高(p < 0.05,采用Bonferroni校正)。副学士学位毕业生与其他组之间的比较未发现显著差异。分析还显示,有五年或以上工作经验的护士关怀行为得分较低。在重症监护病房工作至少四年的护士关怀行为得分较低。然而,研究未发现参与者的心理弹性得分与其态度、关怀行为或总分之间存在统计学上的显著关系。

结论

根据这些结果,可以假定多种因素可能影响重症监护护士的心理弹性与其对临终关怀态度之间的关系。为了改善这些态度,应开展各种培训课程、研讨会和项目倡议。此外,未来应使用更大的样本群体进行研究,以进一步探索这种关系。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fc/12224419/e8491c526998/12912_2025_3497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fc/12224419/e8491c526998/12912_2025_3497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fc/12224419/e8491c526998/12912_2025_3497_Fig1_HTML.jpg

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