医疗保健专业人员在临终阶段与护理相关的感知负担——对普通病房和重症监护病房的横断面探索性研究结果。

Omega Pub Date : 2025-06-19 DOI:10.1177/00302228251353548
Nikolas Oubaid, Sukhvir Kaur, Viola Milke, Anneke Ullrich, Aneta Schieferdecker, Kerstin Kremeike, Sophie Meesters, Christin Herrmann, Raymond Voltz, Holger Schulz, Karin Oechsle
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引用次数: 0

摘要

大多数在医院死亡的病人都是在专科姑息治疗之外死亡的,这使得所有学科的医疗保健专业人员都有责任照顾临终者。本横断面研究评估了非姑息治疗医院病房的医疗保健专业人员在照顾临终病人时的负担。采用描述性统计和推断性统计(chi2检验和t检验)对数据进行分析。10个非姑息治疗病房(4个普通病房,6个重症监护室)的201名医护人员参与了调查。重症监护病房工作人员报告的死亡阶段护理总负担高于普通病房工作人员(d = 0.41;P = .005)。“照顾临终病人的高要求”、“意外死亡”和“与非正式照顾者的特殊关系”是医疗保健专业人员最严重和最普遍的负担因素。结果表明,在实施干预措施以减轻卫生保健专业人员的负担时,应优先考虑具体的负担因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare Professionals' Perceived Burden Related to Care in the Dying Phase - Results of a Cross-Sectional Explorative Study on General Wards and Intensive Care Units.

Most patients dying in hospitals die outside of specialist palliative care, making healthcare professionals of all disciplines responsible for the care of the dying. This cross-sectional study assessed how burdened healthcare professionals on non-palliative care hospital wards are when caring for dying patients. Descriptive and inferential statistics (chi2 and t tests) were used to analyze the data. N = 201 healthcare professionals on ten non-palliative care hospital wards participated in the survey (four general wards, six intensive care units). Intensive care unit staff reported a higher total burden related to care in the dying phase than general ward staff (d = 0.41; p = .005). "High demands of caring for dying patients", "unexpected death", and "special relationship with informal caregivers" were the most severe and prevalent burden factors in healthcare professionals. Results show specific burden factors that should be prioritized when implementing interventions to reduce burden in healthcare professionals.

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