上海市医务人员安宁疗护态度状况及影响因素分析

来源 :中华全科医师杂志 | 被引量 : 0次 | 上传用户:fastal
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目的:调查上海市医务人员对安宁疗护的态度状况,并分析态度的主要影响因素。方法:采用抽样调查的方法,于2019年11—12月,选择上海市16个区223家注册临终关怀科或开展安宁疗护服务的机构,抽取共7 074名医务人员进行安宁疗护的态度状况问卷调查,并分析相关影响因素。结果:回收有效问卷7 027份,有效回收率为99.3%。医务人员对安宁疗护态度的总体得分为(91.9±11.6)分,条目均分为(3.7±0.5)分,平均得分率为73.50%;“对于安宁疗护提升生命质量方面的益处”维度得分率最高(87.08%),“面对疾病晚期情况不断恶化的患者”维度得分率最低(60.88%)。医生(n B=-1.207)、护士(n B=-0.912)、未亲眼目睹过临终患者死亡过程(n B=-1.417)、未参与过安宁疗护服务(n B=-1.203)以及不愿意从事安宁疗护服务(n B=-7.849)的医务人员的态度得分较低(均n P<0.05)。n 结论:医务人员对安宁疗护态度总体较为积极,但主动从事安宁疗护服务的积极性不高,应针对性开展医务人员相关专业知识培训,综合提升医务人员安宁疗护态度及从业积极性。“,”Objective:To investigate the attitude of health providers towards hospice care in Shanghai,and analyze the related influencing factors.Methods:From November to December 2019,a questionnaire survey on the attitude towards hospice care was conducted among 7 074 health providers from 223 medical institutions in 16 districts of Shanghai.Results:A total of 7 027 valid questionnaires were recovered, with an effective recovery rate of 99.3%. The total score of attitude to hospice care was (91.9±11.6),the average score of items was (3.7±0.5). The highest score rate was “perception of the benefits for the quality of life promotion” (87.08%),and the lowest score rate was “perception of the threats from the worsening conditions of advanced patients” (60.88%).Health providers who were doctors (n B=-1.207), nurses (n B=-0.912), those without witness of dying or end-of-life patients (n B=-1.417), those without involving in hospice care services (n B=-1.203), and not willing to participating in hospice care (n B=-7.849) had lower attitude scores (all n P<0.05).n Conclusions:The survey indicates that health providers in Shanghai have a positive attitude towards hospice care,but the initiative to engage in hospice care service is not high. It is necessary to conduct targeted training of relevant professional knowledge to enhance the attitude and enthusiasm to hospice care among health providers.
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