接受调查的儿科护士提供临终关怀的自评焦虑和态度反应

M. Saadoon, M. I. Abouzeid, Ebtsam Salah Shalaby Salama, N. Wahba
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摘要

背景:临终关怀是儿科临终患者的一个重要课题,旨在改善他们的生活,尽管预后不佳。这是儿科护理中最具创伤性的方面,因为不愉快的感觉和经历阻碍了护士对生命终结进行满意护理的能力。目的:探讨自评焦虑与儿科护士提供临终关怀态度的关系。方法:采用描述性相关设计。样本由塞得港省综合医院新生儿和儿科重症监护室的48名护士组成。工具:采用20项状态焦虑问卷和护士对儿童临终关怀的态度进行数据收集。结果:46.8%的受访护士对临终关怀持普遍积极态度。33.3%的儿童曾报告有时有焦虑症状,焦虑水平与讨论儿童临终关怀时对舒适区域的态度和医生参与之间存在统计学上的显著关系。结论与建议:儿科护士对临终关怀持积极态度。此外,消极护士对临终关怀益处的态度,焦虑水平与讨论临终关怀舒适度和医生参与之间存在显著的相关关系。因此,本研究结果强调儿科护士有必要了解克服焦虑的有效应对策略,以改善其对临终关怀的态度。
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Self-Rated Anxiety and Attitude Responses of Pediatric Nurses Surveyed about Providing End of Life Care
Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses’ abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses’ attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion & Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses’ attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.
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