摘要
目的调查肿瘤科护士对待死亡态度现状,分析其影响因素,为临床更好地开展安宁疗护提供参考和依据。方法采用便利抽样法,2018年12月抽取海军军医大学第三附属医院东方肝胆外科医院309名肿瘤科护士作为研究对象,通过问卷星电子问卷填写方式进行调查,内容包括一般资料和死亡态度描绘量表。结果肿瘤科护士死亡态度5个维度中,趋近接受得分最高,为(3.56±0.74)分,其次是逃离接受(3.54±0.85)分,自然接受得分最低,为(2.30±0.53)分。工作年限在自然接受得分差异有统计学意义(F值为3.400,P<0.05);父母有无宗教信仰在逃离接受得分差异有统计学意义(t值为6.207,P<0.05);自觉目前身体状况在趋近接受与逃离接受的得分差异有统计学意义(F值为3.494、2.606,均P<0.05);自觉目前的心理状况在死亡恐惧、趋近接受与逃离接受的得分差异有统计学意义(F值为3.381、3.125、3.911,均P<0.05);家中谈论死亡的情景在死亡恐惧与死亡逃避得分差异有统计学意义(F值为2.899、2.762,均P<0.05);之前对死亡教育是否了解在死亡恐惧与死亡逃避得分差异有统计学意义(F值为3.581、5.336,均P<0.05)。结论肿瘤科护士死亡态度较消极,其主要影响因素是工作年限、父母有无宗教信仰、家中谈论死亡的情景、目前的身心状况和之前对死亡教育是否了解。
Objective To investigate the attitude to death of oncology nurses and analysis its influencing factors,so as to provide scientific references and basis for care of the dying patients.Methods A convenience sampling method was used to 309 nurses from Eastern Hepatobiliary Surgery Hospital,the Third Affiliated Hospital of Naval Military Medical University.The survey was conducted by filling in the electronic questionnaire which powered by sojump.com.The questionnaire was composed with a demographic survey and Chinese version Death Attitude Profile-Revised.Results In the five dimensions of Death Attitude Profile-Revised,the highest factor score was in Approach Acceptance(3.56±0.74),the second was in Escape Acceptance(3.54±0.85)and the lowest was in Natural Acceptance(2.30±0.53).There was a statistically significant difference in the number of years of work in Nautral Acceptance(F value was 3.400,P<0.05).Parents with or without religious beliefs had statistically significant differences in Death of Avoidance(t value was 6.207,P<0.05).Consciously aware that the current physical condition was statistically different from Approach Acceptance and Escape Acceptance(F value was 3.494,2.606,all P<0.05).Consciously the current psychological status was statistically different in Death Fear and Approach Acceptance and Escape Acceptance(F value was 3.381,3.125,3.911,all P<0.05).The situation of talking death in the family was statistically different between Death Fear and Death of Avoidance(F value was 2.899,2.762,all P<0.05).There was a statistically significant difference in Death Fear and Death of Avoidance and Death Education(F value was 3.581,5.336,all P<0.05).Conclusions The attitude to death in 309 oncology nurses is relatively passive.The main influencing factors are work experience and parents with or without religious beliefs and the situation of talking death in the family physiology and psychology conditions,whether or not receive death education.
作者
赵疃
胡守紫
Zhao Tuan;Hu Shouzi(Eastern Hepatobiliary Surgery Hospital,the Third Affiliated Hospital of Naval Military Medical University,Shanghai 201805,China)
出处
《中国实用护理杂志》
2020年第7期525-532,共8页
Chinese Journal of Practical Nursing
基金
2017年东方肝胆外科医院护理科研基金(17HL012)。
关键词
死亡态度
肿瘤科护士
影响因素
Attitude to death
Oncology nurse
Influencing factors
