河南省三级医院医护人员姑息护理知识水平现状及影响因素分析

摘要

目的 了解河南省医护人员姑息护理知识水平现状,分析其影响因素及培训需求,为进一步提高姑息护理知识水平及制定有效培训措施提供理论依据.方法 2017年10月—2018年2月,采用便利抽样法,选取河南省6所三级医院的600名医护人员为研究对象.采用姑息护理知识问卷(PCQN)、姑息护理培训需求问卷对其进行调查.采用多元线性回归分析进行影响因素分析.本研究共发放调查问卷600份,回收有效问卷579份.结果 579名医护人员PCQN得分(12.19±3.221)分.曾与临终患者或者其家属讨论过死亡的话题、听说过姑息护理、文化程度、职称、有临终护理的经历是医护人员姑息护理知识水平的影响因素,可解释因素总变异的37.8％.结论 医护人员姑息护理知识水平普遍较低,曾与临终患者或者其家属讨论过死亡的话题、听说过姑息护理、文化程度、职称、有临终护理的经历是医护人员姑息护理知识水平的影响因素,医护人员对姑息护理各个方面均有较强的培训需求,进行相关专业的姑息护理知识培训尤为重要.%Objective To understand the status quo of palliative nursing knowledge of medical staff in He'nan Province, analyze its influencing factors and training needs, and provide theoretical basis for further improving palliative nursing knowledge level and formulating effective training measures.Methods From October 2017 to February 2018, a total of 600 medical staff from six ClassⅢ Grade A hospitals in He'nan Province were selected as the research subjects. All the subjects were investigated with palliative care knowledge questionnaire (PCQN) and the palliative care training needs questionnaire. Multivariate linear regression analysis was used to analyze the influencing factors. A total of 600 questionnaires were sent out and 579 valid questionnaires were collected.Results The score of PCQN of the 579 medical staff was (12.19±3.221). The factors influencing the knowledge level of palliative care among medical staff were discussed with dying patients or their families, heard of palliative care, educational level, professional title and experience of palliative care, which could explain 37.8％ of the total variation of the factors.Conclusions The knowledge level of palliative care among medical staff is generally low. The factors influencing the knowledge level of palliative care among medical staff were discussed with dying patients or their families, heard of palliative care, educational level, professional title and experience of palliative care. Medical staff have strong training needs in all aspects of palliative care. It is particularly important to train palliative nursing knowledge in relevant specialties.