【作者】 侯晨辉；

【导师】 钟玉杰；

【作者基本信息】 吉林大学 ， 护理学， 2009， 硕士

【摘要】 目的:通过调查,了解在校护理专业本科生临终关怀认知现状,分析其认知度差异,并对可能的影响因素进行分析;根据调查结果,探讨适合我国护理本科生的临终关怀教育内容、方法及手段等,为相关教学提供佐证。方法:对吉林省三所护理本科院校的护理本科生采用一般资料评估表、临终关怀知识问卷和临终关怀态度问卷进行调查。结果:在校护理本科生临终关怀知识问卷所有项目的均分0.5953±0.14937,其中临终关怀心理社会精神方面知识得分最高,而临终关怀哲理与原则方面的知识得分较低;调查对象在不同学校、实习经历、双亲健康状况方面得分有显著性差异(P<0.05)。临终关怀态度问卷所有项目的均分为3.0754±0.37181,其中临终关怀服务对象需求评估与个人死亡态度得分较高,临终关怀态度评估得分较低;调查对象在不同实习经历、宗教信仰、临终病人接触经验及接触死亡经验情况下得分有显著性差异(P<0.05)。结论:护理本科生临终关怀基本知识了解不够深入;普遍缺乏临终关怀哲理和原则方面的知识;疼痛控制相关知识相对薄弱。其临终关怀知识受多种因素影响,与学校、实习经历、父母亲健康状况有关。护理本科生在临终关怀态度评估方面不够乐观,但在临终关怀服务对象需求评估与个人死亡态度方面更为积极。其实习经历、宗教信仰、临终病人接触经验及接触死亡经验对临终关怀态度有影响,而年龄、民族、家庭型态等因素对临终关怀态度得分无显著性差异。更多还原

【Abstract】 Objective: With the population aging, the change of disease spectrum, and the change of rank order of causes of death, hospice care has become the urgent needs of our society. Compared to more mature mode of hospice care education in foreign countries, there are many problems both in the content and means of teaching in China. The topic based on the present situation of hospice care education in nursing undergraduates, to understand the situation of konwledge and attitude towards hospice care in the students by the investigate on the cognition of hospice care in Undergraduate nursing students in JiLin Province; analyzing the difference of congnition of hospice care, to find the influencing factors; discussing the content, methods and means in hospice care which is situable for China, in order to provide evidence related to teaching.Methods:1. Investigation Method We use the non-probability sampling method to extract three school which has nursing undergraduates in Jilin province, and extracting different grades of nursing undergraduates from three schools as participants in the survey by stratified random sampling method from April 2008 to July 2008. The investigation object should express their understanding and support of the research, and participate the study voluntary; everyone should correctly understand the meaning of each entry. 460 copies of questionnaires were distributed, 430 valid questionnaires were received.2. The design and selection of the questionnaire The questionnaire contain three parts: the general assessment of the survey form, including sex, age, nation, native place, education, grades, internship experience, family model, religion, parental age and health status, the experiences of the contact with dying patients and death, the sources of hospice care knowledge; hospice care knowledge questionnaire, self-designed, according to the relevant research of hospice care theory and knowledge, and according to palliative care knowledge questionnaire (PCQN) Chinese version of Scale which translated and revised by the ZOU Min (2007), including four dimensions, basic knowledge of hospice care, hospice philosophy and principles of pain control, psycho-social and spiritual support; hospice care attitude questionnaire, referring to the relevant literature both at home and abroad, self-designed, including three dimensions, hospice care attitude assessment, hospice services needs assessment, and personal attitudes toward death.3. Pre-investigation As a result of the use of self-designed questionnaire in this study, selectting 45 cases of nursing undergraduates to answer the questionaire, in order to test the reliability and validity of the questionnaire. The Cronbach’Alpha for hospice care knowledge questionnaire in nursing undergraduates is 0.702, and the Cronbach’Alpha for hospice attitude questionnaire is 0.674, showed that the content of questionnaires has good internal consistency. 23 of them were selected after 28 days to test again in order to check the test-retest reliability of questionnaire, test-retest results showed the correlation coefficient is 0.703,explained that the questionaire has good stability.4. Statistics treatment We use the statistical analysis software SPSS15.0 to describe and analyze the result, describing of measurement data with mean±standard deviation, the comparison between two groups data use t tests, multiple comparison of the data use analysis of variance, two variables related use the Pearson correlation analysis. P≤0.05 considered to have statistically significant.Results:1. The average evaluation scores of hospice care knowledge questionnaire is 10.71±2.69, and the average accuracy rate is 61.6%. The average evaluation scores of all subjects is 0.5953±0.14937, compared in four dimensions of the hospice care knowledge questionnaire, t test shows that has statistical significance(P<0.05), the highest score is the score of psycho-social spiritual knowledge, but the score of hospice care philosophy and principles of knowledge is lower than others. The scores of people who being investigated of different schools, internship experience and health status of parents has significant difference(P<0.05), but the scores of hospice care knowledge in different age, nation, family patterns, religious beliefs has no significant difference.2. The aggregate score of hospice care attitude questionnaire is 58.42±7.06. The average evaluation scores of all subjects is 3.0754±0.37181, compared in three dimensions, t test shows that has statistical significance(P<0.05), the scores of needs assessment of hospice care clients(NO.2 dimension)and personal attitudes toward death(NO.3 dimension) are higher , but the score of attitude assessment of hospice care(NO.1 dimension)is lower than other areas obviously. Internship experience, religious belief ,experience of contact with terminal patients and experience of contact with death all have influence on hospice care attitude(P<0.05), but different age, nation and family patterns effect on hospice care attitude has no significant difference.Conclusion: The survey results showed that nursing students understand the basic knowledge of hospice care is not deep enough, most of them lack of hospice philosophy and principles of knowledge, knowledge of pain control is relatively weak; their hospice knowledge is related with the facts of schools, internship experience,and parents factors such as health status. Nursing undergraduates in attitude assessment of hospice care are also not optimistic, but the dimensions of hospice services needs assessment and personal attitudes toward death are more positive; their internship experience, religious belief ,experience of contact with terminal patients and death experience have influence on hospice care attitude(P<0.05).China has entered the aging society, there has a major social benefits to promote the progress of hospice care. Compared with foreign countries, hospice care in China have a lot of deficiency no matter on the aspect of teaching or evaluation tools, there has a urgent needs for hospice care education, the education can be done from the following aspects: asked for the national policies’support; Strengthen the hospice care education; improved the attitude toward hospice care through Death Education.更多还原