摘要
目的了解安宁共照下浙江省不同等级医院护士安宁疗护知信行现状,并分析影响因素。方法本研究为横断面研究,采用便利抽样法,于2023年3—4月选取浙江省杭州市、湖州市、丽水市3个城市的3所三级医院、3所二级医院和2所一级医院的541名临床注册护士为研究对象。采用一般资料调查表和安宁共照模式下安宁疗护知信行调查量表对研究对象进行调查。采用多重线性回归分析安宁共照下护士安宁疗护知信行的影响因素。本研究共发放问卷541份,回收有效问卷535份,问卷有效回收率为98.89%。结果535名护士安宁疗护知识、态度、行为得分分别为(16.29±1.99)、(71.10±9.00)、(32.21±5.89)分。多重线性回归分析结果显示,医院等级、性别、是否参加过安宁疗护的在职培训是护士安宁疗护知识的影响因素(P<0.05);民族、2年内参加安宁疗护培训课程时长是安宁疗护态度的影响因素(P<0.05);科室是护士安宁疗护行为的影响因素(P<0.05)。结论安宁共照模式下,浙江省护士的安宁疗护态度整体良好,但知识与行为水平仍有提升空间,且知信行各维度的影响因素存在差异,医院等级、性别及是否参加过安宁疗护在职培训影响知识水平,民族与2年内安宁疗护培训时长影响态度,科室影响行为。
Objective To understand the current status of knowledge,attitude,and practice(KAP)of nurses in palliative care under the model of palliative co-care in hospitals of different levels in Zhejiang Province,and to analyze the influencing factors.Methods This study was a cross-sectional study.Convenience sampling was used to select 541 clinical registered nurses from 3 ClassⅢhospitals,3 ClassⅡhospitals,and 2 ClassⅠhospitals in Hangzhou,Huzhou,and Lishui,Zhejiang Province,from March to April 2023.A general information questionnaire and the KAP Survey Scale of Palliative Care Under the Palliative Co-care Model were used to investigate the subjects.Multiple linear regression analysis was conducted to analyze the influencing factors of nurses'KAP of palliative care under palliative co-care.A total of 541 questionnaires were distributed,and 535 valid questionnaires were recovered,with an effective response rate of 98.89%.Results The scores of 535 nurses for palliative care knowledge,attitude,and practice were(16.29±1.99),(71.10±9.00),and(32.21±5.89),respectively.Multiple linear regression analysis revealed that hospital level,gender,and whether nurses have participated in on-the-job training on palliative care are influencing factors of nurses'knowledge of palliative care(P<0.05);ethnicity and the duration of palliative care training courses attended within two years are influencing factors of nurses'attitude toward palliative care(P<0.05);department is an influencing factor of nurses'practice of palliative care(P<0.05).Conclusions Under the palliative co-care model in Zhejiang Province,nurses demonstrate a good attitude toward palliative care,while their knowledge and practice levels of palliative care still have room for improvement,with distinct influencing factors for each dimension-hospital level,gender,and on-the-job training participation affect knowledge;ethnicity and training duration within two years affect attitude;and department affects practice.
作者
袁菲
殷钰
许媚
代骞媛
顾海峰
Yuan Fei;Yin Yu;Xu Mei;Dai Qianyuan;Gu Haifeng(Department of Nursing,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Department of Hematology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Department of Gerontology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《中华现代护理杂志》
2025年第29期3934-3940,共7页
Chinese Journal of Modern Nursing
基金
国家重点研发计划(2023YFC3605905)。
关键词
安宁疗护
共同照护
护士
知信行
影响因素
Palliative care
Co-care
Nurses
Knowledge,attitude,and practice
Influencing factors
