肿瘤科护士死亡态度现状及影响因素分析

Tuanjie Zhao
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摘要

目的了解肿瘤科护士对死亡的态度,并分析其影响因素,为临终病人的护理提供科学参考和依据。方法采用方便抽样的方法,对海军军医大学第三附属医院东方肝胆外科医院309名护士进行调查。该调查是通过填写由sojump.com提供的电子问卷进行的。问卷由人口学调查和中文死亡态度调查问卷组成。结果在死亡态度量表的5个维度中,接近接受因子得分最高(3.56±0.74),逃避接受因子得分次之(3.54±0.85),自然接受因子得分最低(2.30±0.53)。两组在自然验收工作年数上差异有统计学意义(F值为3.400,P<0.05)。有无宗教信仰的父母在回避死亡方面差异有统计学意义(t值为6.207,P<0.05)。自觉意识到目前的身体状况与接近接受度、逃避接受度有统计学差异(F值分别为3.494、2.606,P均<0.05)。自觉心理状态在死亡恐惧、接近接受度和逃避接受度上有统计学差异(F值分别为3.381、3.125、3.911,P均<0.05)。“怕死”与“怕死”家庭中谈话死亡情况差异有统计学意义(F值分别为2.899、2.762,P均<0.05)。死亡恐惧与死亡回避与死亡教育的差异有统计学意义(F值分别为3.581、5.336,P均<0.05)。结论309名肿瘤科护士对死亡的态度较为消极。主要影响因素有工作经历、父母有无宗教信仰、家庭中谈论死亡的生理、心理状况、是否接受过死亡教育等。关键词:死亡态度;肿瘤科护士;影响因素
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The current status on attitude to death and its influencing factors among oncology nurses
Objective To investigate the attitude to death of oncology nurses and analysis its influencing factors,so as to provide scientific references and basis for care of the dying patients. Methods A convenience sampling method was used to 309 nurses from Eastern Hepatobiliary Surgery Hospital,the Third Affiliated Hospital of Naval Military Medical University.The survey was conducted by filling in the electronic questionnaire which powered by sojump.com. The questionnaire was composed with a demographic survey and Chinese version Death Attitude Profile-Revised. Results In the five dimensions of Death Attitude Profile-Revised,the highest factor score was in Approach Acceptance(3.56±0.74),the second was in Escape Acceptance(3.54±0.85) and the lowest was in Natural Acceptance(2.30±0.53).There was a statistically significant difference in the number of years of work in Nautral Acceptance(F value was 3.400, P<0.05).Parents with or without religious beliefs had statistically significant differences in Death of Avoidance(t value was 6.207, P<0.05). Consciously aware that the current physical condition was statistically different from Approach Acceptance and Escape Acceptance(F value was 3.494, 2.606, all P<0.05).Consciously the current psychological status was statistically different in Death Fear and Approach Acceptance and Escape Acceptance(F value was 3.381, 3.125, 3.911, all P<0.05).The situation of talking death in the family was statistically different between Death Fear and Death of Avoidance (F value was 2.899, 2.762, all P<0.05).There was a statistically significant difference in Death Fear and Death of Avoidance and Death Education (F value was 3.581, 5.336, all P<0.05). Conclusions The attitude to death in 309 oncology nurses is relatively passive.The main influencing factors are work experience and parents with or without religious beliefs and the situation of talking death in the family physiology and psychology conditions,whether or not receive death education. Key words: Attitude to death; Oncology nurse; Influencing factors
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