摘要
目的:了解肿瘤科护士对照顾终末期癌症患者的态度。方法:采用自行编制的"护士照顾终末期癌症患者的态度评估量表",对全国19家医院的463名肿瘤科护士进行调查,内容包括护士对照顾终末期癌症患者的职责认同程度以及工作中的负性感受两个维度,每个维度均包括症状控制、心理辅导以及家属支持3个方面的测量。结果:①护士对症状控制、心理辅导以及家属支持3方面的职责普遍认同,但在心理辅导方面,对帮助患者应对疾病状况和死亡的职责的认同分值不高,存在不确定性。②护士在3方面的实践中负性感受均较高,其中在帮助家属应对悲伤过程中的负性感受最强,对症状控制的无能为力感受次之。心理辅导方面,护士在帮助患者应对当前疾病状况和谈论死亡问题上感到困难。③护士在症状控制和心理辅导两方面的职责认同程度与工作中的负性感受呈负相关。结论:肿瘤姑息护理的继续教育仍需进一步加强,帮助更多的肿瘤科护士明确职责,更新理念,提高专科护理知识水平和能力,才能为终末期癌症患者提供更加专业、有效的护理,同时也有助于减轻工作中的负性感受和压力。
Objective：To explore oncology nurses＇attitudes on caring for dying cancer patients.Methods：Totally 463 oncology nurses from 19 nationwide hospitals were investigated by a self-designed scale.The scale was comprised of two subscales to evaluate respondents＇agreement with their responsibilities and negative experience in caring for dying cancer patients.There were three dimensions in each subscale,including symptom management,psychological counseling and family support.Results：①Generally oncology nurses agreed with their responsibilities in the three aspects of caring for dying patients.But lower scores were reported in the responsibility of helping patients to deal with dying and death.②Oncology nurses demonstrated high negative experience levels in providing care for dying patients.The nurses reported highest negative feelings on cancer patients＇family support,then symptom management.They felt difficult to talk about death and dying with patients.③Statistically significant negative relationships were noted between responsibility agreement and negative experience in the aspect of symptom management and psychological counseling.Conclusion：Continuous education for oncology nurses in palliative care should be further emphasized to ensure more effective and professional care for end stage cancer patients.
出处
《中国护理管理》
2011年第2期84-86,共3页
Chinese Nursing Management
