ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
   中国期刊全文数据库
   中国核心期刊(遴选)数据库
   Scopus
临床实践

急诊科护士死亡态度对其临终照护态度影响的研究

  • 丁传琦 ,
  • 金静芬
展开
  • 310009 杭州市 浙江大学医学院附属第二医院护理部
丁传琦:男,本科(硕士在读),E-mail: zrdcq@zju.edu.cn

收稿日期: 2019-06-26

  网络出版日期: 2020-03-07

The influence of death attitude on hospice care attitude among emergency nurses

  • Chuan-qi DING ,
  • Jing-fen JIN
Expand

Received date: 2019-06-26

  Online published: 2020-03-07

摘要

目的 了解急诊科护士临终照护态度与死亡态度现状,探讨两者之间的关系。方法 采用便利抽样法,运用一般情况调查表、中文版照护临终患者态度量表和中文版死亡态度描绘量表对153名急诊科护士进行问卷调查。结果 急诊科护士临终照护态度总分为(79.78±10.03)分;死亡态度5个分量表均分由高到低依次为逃离接受(3.15±0.79)分、趋近接受(3.04±0.66)分、死亡恐惧(2.92±0.65)分、死亡逃避(2.88±0.72)分、自然接受(2.16±0.58)分。分层回归分析显示,自然接受、死亡逃避、逃离接受能够独立解释急诊科护士临终照护态度总变异的27.8%。结论 急诊科护士临终照护态度水平不高,死亡态度对其有影响。

本文引用格式

丁传琦 , 金静芬 . 急诊科护士死亡态度对其临终照护态度影响的研究[J]. 中华护理教育, 2020 , 17(3) : 275 -278 . DOI: 10.3761/j.issn.1672-9234.2020.03.018

Abstract

Objective To investigate the hospice care attitude and death attitude among emergency nurses and examine their relationship. Methods One hundred and fifty-three emergency nurses were recruited by convenience sampling and investigated by the Chinese version of Frommelt Attitude Toward Care of the Dying Scale(FATCODS)and Death Attitude Profile-Revised(DAP-R) questionnaire. Results The total score of hospice care attitude was(79.78±10.03). The subscale scores of DAP-R in descending orders were(3.15±0.79) for escape acceptance,(3.04±0.66)for approach acceptance,(2.92±0.65) for fear of death,(2.88±0.72) for death avoidance,and (2.16±0.58) for natural acceptance respectively. The hierarchical regression model showed that natural acceptance,death avoidance,and escape acceptance could explain 27.8% variance of hospice care attitude among emergency nurses. Conclusion The overall level of emergency nurses’ attitude of hospice care is not good and influenced by death attitude.

参考文献

[1] 孟召霞 . 照顾临终患者态度量表的跨文化调适及其应用的研究[D]. 北京:北京中医药大学, 2014.
[2] 李玉琦, 冷雅楠, 刘婷婷 , 等. 死亡态度相关研究的可视化分析[J]. 中国医学伦理学, 2019,32(8):1042-1046.
[3] Beckstrand RL, Smith KE, Luthy KEB , et al. Rural emergency nurses’ suggestions for improving end-of-life care[J]. J Emerg Nurs, 2017,43(3):214-220.
[4] Decker K, Lee S, Morphet J . The experiences of emergency nurses in providing end-of-life care to patients in the emergency department[J]. Australas Emerg Nurs J, 2015,18(2):68-74.
[5] 王雪莹 . 我国护士照护临终病人态度的研究进展[J]. 全科护理, 2017,15(26):3237-3239,3242.
[6] 孟召霞, 李艳琳, 支彩霞 , 等. 护士照顾临终患者态度与个人死亡态度的相关性研究[J]. 护理学杂志, 2014,29(2):51-53.
[7] Peters L, Cant R, Payne S , et al. How death anxiety impacts nurses’ caring for patients at the end of life:a review of literature[J]. Open Nurs J, 2013,7:14-21.
[8] 陈鹏, 王敏, 刘宇 , 等. 北京市157名护士的死亡态度及临终关怀教育需求调查分析[J]. 护理学报, 2014,21(16):29-32.
[9] Payne SA, Dean SJ, Kalus C . A comparative study of death anxiety in hospice and emergency nurses[J]. J Adv Nurs, 1998,28(4):700-706.
[10] Frommelt KH . The effects of death education on nurses’ attitudes toward caring for terminally ill persons and their families[J]. Am J Hosp Palliat Care, 1991,8(5):37-43.
[11] 杨红, 陆宇晗, 赵艺媛 , 等. 中文版临终关怀态度调查量表的跨文化调适[J]. 护理学报, 2016,23(5):50-53.
[12] Henoch I, Browall M, Melin-Johansson C , et al. The Swedish version of the frommelt attitude toward care of the dying scale:aspects of validity and factors influencing nurses’ and nursing students’ attitudes[J]. Cancer Nurs, 2014,37(1):E1-E11.
[13] Neimeyer RA . Death anxiety handbook:research,instrumentation and application[M]. Washington,DC:Taylor & Francis, 1994.
[14] 廖芳娟 . 台湾警察之死亡态度研究[D]. 嘉义:南华大学, 2000.
[15] 唐鲁, 张玲, 李玉香 , 等. 中文版死亡态度描绘量表用于护士群体的信效度分析[J]. 护理学杂志, 2014,29(14):64-66.
[16] Harrison PA . Knowledge and attitudes of emergency room nurses regarding palliative care patients[D]. Minneapolis:Walden University, 2018.
[17] 何月月, 黄秀美, 尹安春 , 等. ICU护士临终关怀态度现状及影响因素研究[J]. 护理学报, 2019,26(11):5-8.
[18] 申靓亮, 于宁宁, 刘冰冰 , 等. ICU护士临终照护态度及影响因素的调查分析[J]. 护理学杂志, 2018,33(4):55-57.
[19] Wang LP, Li CX, Zhang QL , et al. Clinical nurses’ attitudes towards death and caring for dying patients in China[J]. Int J Palliat Nurs, 2018,24(1):33-39.
[20] Heaston S, Beckstrand RL, Bond AE , et al. Emergency nurses’ perceptions of obstacles and supportive behaviors in end-of-life care[J]. J Emerg Nurs, 2006,32(6):477-485.
[21] Wong WY . The concept of death and the growth of death awareness among university students in Hong Kong[J]. Omega(Westport), 2017,74(3):304-328.
[22] 徐旭东, 金奕, 李淑兰 , 等. 天津市8家三级甲等医院急诊科护士死亡态度现状及影响因素研究[J]. 中国护理管理, 2016,16(3):340-344.
[23] Cevik B, Kav S . Attitudes and experiences of nurses toward death and caring for dying patients in Turkey[J]. Cancer Nurs, 2013,36(6):E58-E65.
[24] 张慧影, 武礼琴 . 新疆临床护士死亡态度对其临终照护态度的影响研究[J]. 全科护理, 2018,16(11):1291-1294.
[25] 陈菁菁, 张旋, 吴炜炜 , 等. 护理本科生照顾临终患者的态度及其影响因素[J]. 中华护理教育, 2016,13(1):71-74.
[26] Karadag E, ParlarKilic S, Ugur O ,et al. Attitudes of nurses in Turkey toward care of dying individual and the associated religious and cultural factors[J]. J Relig Health, 2019,58(1):303-316.
文章导航

/