Conocimientos de las enfermeras acerca de los cuidados paliativos en un área de críticos

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-10-01 DOI:10.1016/j.enfi.2021.10.003

A. Sesma-Mendaza RN , M. Aranguren-Sesma RN , F. Estraviz-Pardo RN , E. Lizarazu-Armendáriz RN , R. Goñi-Viguria MSN

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引用次数: 0

Abstract

Introduction and objetive

Patients admitted to the Critical Care Unit (CCU) have a high mortality rate due to their complexity. Palliative care (PC) is a key aspect that can improve patient care. Because of the essential role of the nurse in providing this care, training, and including it in daily practice are needed.

Our objective was to review the level of knowledge among the nurses in the CCU regarding PC and assess whether there is an association between each of the study variables.

Methodology

We performed a descriptive observational cross-sectional study in the CCU of a tertiary level university hospital. The questionnaire Palliative Care Quiz for Nurses, previously validated and translated into Spanish, was used. This is a self-administered questionnaire consisting of 20 multiple-choice questions (True/False/Do not Know-Do not answer) which evaluates three aspects of PC: philosophy, psychosocial and control of pain and other symptoms. In addition, sociodemographic data was collected. Descriptive and inferential statistics were used, a p < .05 was considered statistically significant in all cases.

Results

The questionnaire was administered to 68 nursers, with an average age of 34.98 ± 12.12 years, and 13.00 ± 11.75 years of professional experience. Twelve nurses have Master studies and 28 nurses have received training in PC. The percent of correct answers of the questionnaire was 56.98%. There were no statistically significant differences between the total average score and the variables studied. However, looking at each aspect on the scale, an association was found between PC training and control of pain and other symptoms (p = .033).

Conclusion

Critical care nurses have a basic knowledge of PC, it being insufficient in the psychological sphere. Developing a training programme which identifies misconceptions and training deficits might improve the management of symptom control in palliative care patients, quality of care and its application.

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护士在危重病人领域的姑息治疗知识

简介与目的重症监护病房(CCU)因其复杂性，患者死亡率高。姑息治疗(PC)是一个关键方面，可以改善病人的护理。由于护士在提供这种护理方面的重要作用，培训并将其纳入日常实践是必要的。我们的目的是回顾CCU护士关于PC的知识水平，并评估每个研究变量之间是否存在关联。方法对某三级大学附属医院的CCU进行描述性观察性横断面研究。使用之前验证并翻译成西班牙语的护士缓和护理问卷测验。这是一份自我管理的问卷，由20道选择题(正确/错误/不知道-不回答)组成，评估PC的三个方面:哲学、心理社会和对疼痛和其他症状的控制。此外，还收集了社会人口统计数据。采用描述性和推断性统计，p <0.05被认为在所有病例中具有统计学意义。结果共接受问卷调查的护理人员68名，平均年龄34.98±12.12岁，从业经验13.00±11.75年。12名护士有硕士学位，28名护士接受过PC培训。问卷正确率为56.98%。总平均分与所研究的变量之间没有统计学上的显著差异。然而，观察量表上的每个方面，发现PC训练与疼痛和其他症状的控制之间存在关联(p = 0.033)。结论重症监护护士对PC有一定的基础知识，但心理方面的知识不足。制定一项培训计划，识别误解和培训缺陷，可能会改善对姑息治疗患者症状控制的管理、护理质量及其应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.