Hubungan Pengetahuan dan Pelaksanaan End Of Life Care Pada Masa Pandemi Covid-19

Rahmi Muthia, Tiya Rama Fitri, Fitri Mailani, Elvi Oktarina, Emil Huriani
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Abstract

Background: During the Covid 19 pandemic, the need of care and the death rate of patients in the Intensive Care Unit (ICU) increased. So that nurses are required to to integrate the implementation of end of life care (EOLC) in end of life (EOL) patients. However, the implementation of EOLC during the Covid 19 pandemic was vulnerable to obstacles. The implementation of EOLC treatment is influenced by knowledge. The purpose of this study was to see the relationship between knowledge and implementation of EOLC during the COVID-19 pandemic in the Intensive Care Unit room. Methods: This research is a descriptive correlation with a cross sectional approach. The research sample was 91 people, using a convenience sampling technique. This research was conducted in August-October 2022 with research respondents in intensive care nurses at the Hospital in Padang City who worked during the Covid 19 pandemic for at least 1 year. Data collection used Palliative Care Quiz for Nurse Indonesian Version (PCQN-I) and Self Reported Practice Checklist. Data analysis used fisher's exact test. Results: The results showed that nurses' EOLC knowledge was in the moderate category (82.4%) and the implementation of end of life care by nurses during the Covid 19 pandemic was in the high category (85.7%). Conclusion: There was no relationship between EOLC knowledge and EOLC implementation during the Covid 19 pandemic (p = 0.451). Hospital institutions are advised to facilitate the increase of end of life care knowledge in nurses so as to support optimal implementation. Keywords: End of Life Care, Knowledge, Implementation, Nurse, Intensive Care Unit
背景:在2019冠状病毒病大流行期间,重症监护病房(ICU)患者的护理需求和死亡率增加。这就要求护士将临终关怀(EOLC)的实施整合到临终病人(EOL)中。然而,在2019冠状病毒病大流行期间,EOLC的实施容易受到障碍的影响。EOLC治疗的实施受知识的影响。本研究的目的是了解COVID-19大流行期间重症监护病房病房中EOLC知识与实施之间的关系。方法:本研究采用横断面方法进行描述性相关分析。研究样本为91人,采用了方便的抽样技术。这项研究于2022年8月至10月进行,研究对象是巴东市医院的重症监护护士,他们在2019冠状病毒病大流行期间工作了至少1年。数据收集采用印度尼西亚版姑息治疗护士测验(PCQN-I)和自我报告执业清单。数据分析采用fisher精确检验。结果:结果显示,护士对EOLC知识的了解处于中等水平(82.4%),对Covid - 19大流行期间护士实施临终关怀的情况处于较高水平(85.7%)。结论:Covid - 19大流行期间,EOLC知识与EOLC实施无相关性(p = 0.451)。建议医院机构促进护士临终关怀知识的增加,以支持最佳实施。关键词:临终关怀,知识,实施,护士,重症监护病房
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