姑息关怀知识和自我效能:重症监护病房和普通病房护士的比较研究。

IF 2.5 2区 医学 Q2 HEALTH CARE SCIENCES & SERVICES BMC Palliative Care Pub Date : 2024-10-22 DOI:10.1186/s12904-024-01580-7
Sahar Fadaei, Mansooreh Azizzadeh Forouzi, Mitsunori Miyashita, Asmaa Jumaa Faleh, Mahlagha Dehghan
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引用次数: 0

摘要

背景和目的:临终患者人数的不断增加凸显了医护人员掌握足够的姑息关怀知识和自我效能的重要性。本研究旨在比较 2023 年克尔曼医科大学附属医院重症监护室(ICU)和普通病房护士的姑息关怀知识和自我效能:这项描述性比较横断面研究涉及克尔曼医科大学三家附属医院重症监护室和普通病房的护士,总样本量为 300 名护士(每组 150 名)。样本采用便利抽样法选出。数据收集工具包括人口统计学信息问卷、姑息治疗知识测试(PCKT)和姑息治疗自我效能量表(PCSES)。采用的是便利抽样法。数据使用 SPSS 23 进行分析。采用了描述性统计(频率、百分比、平均值和标准差)和推断性统计(独立 t 检验、曼-惠特尼 U 检验和多元逐步回归)。统计意义以 p 值≤ 0.05 为标准:重症监护病房护士的姑息关怀知识平均得分为 10.59(± 2.10)分,普通病房护士的姑息关怀知识平均得分为 10.43(± 2.33)分,两组之间无显著差异(P=0.53)。同样,重症监护病房护士的姑息治疗自我效能平均得分为 28.01(± 10.29)分,普通病房护士的姑息治疗自我效能平均得分为 27.98(± 10.33)分,两组间无明显差异(P = 0.98)。在医院(P = 0.004)或家中(P = 0.01)、工作场所(P = 0.002)和工作经验(P = 0.03)等变量被确定为姑息关怀知识的主要预测因素,姑息关怀自我效能受年龄影响(P 讨论和结论:本研究显示,重症监护病房和普通病房护士在姑息关怀知识和自我效能方面的总分无明显差异。建议进一步努力提高所有护士,尤其是重症监护病房护士的姑息关怀知识和自我效能,直至提供标准的姑息关怀环境。
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Palliative care knowledge and self-efficacy: a comparative study between intensive care units and general units nurses.

Background and objectives: The growing number of terminally ill patients has underscored the importance of equipping healthcare workers with adequate palliative care knowledge and self-efficacy. This study aimed to compare the palliative care knowledge and self-efficacy of nurses in intensive care units (ICUs) with those in general wards at hospitals affiliated with Kerman University of Medical Sciences in 2023.

Methods: This descriptive-comparative cross-sectional study involved nurses from intensive care units and general wards of three hospitals affiliated with Kerman University of Medical Sciences, for a total sample size of 300 nurses (150 in each group). The samples were selected using convenience sampling. The data collection tools included a demographic information questionnaire, the Palliative Care Knowledge Test (PCKT), and the Palliative Care Self-Efficacy Scale (PCSES). Convenience Sampling method was used. The data were analyzed using SPSS 23. Descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t-test, Mann-Whitney U test and multivariate stepwise regression) were employed. Statistical significance was determined by a p-value of ≤ 0.05.

Findings: The mean score for palliative care knowledge was 10.59 (± 2.10) for nurses in intensive care units and 10.43 (± 2.33) for nurses in general wards, with no significant difference between the two groups (P = 0.53). Similarly, the mean score for palliative care self-efficacy was 28.01 (± 10.29) for nurses in intensive care units and 27.98 (± 10.33) for nurses in general wards, with no significant difference between the groups (P = 0.98). Variables such as the history of caring for dying patients in the hospital (P = 0.004) or at home (P = 0.01), workplace (P = 0.002), and work experience (P = 0.03) were identified as the main predictors of palliative care knowledge and palliative care self-efficacy was affected by age (P < 0.001), history of participation in palliative care training courses (P = 0.008), and palliative care knowledge score (P = 0.01).

Discussion and conclusion: This study revealed no significant difference in total scores of palliative care knowledge or self-efficacy between nurses in intensive care units and general wards It is suggested that more efforts be made to increase the knowledge and self-efficacy of all nurses, especially nurses in ICU departments, till providing a standard palliative care setting.

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来源期刊
BMC Palliative Care
BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
9.70%
发文量
201
审稿时长
21 weeks
期刊介绍: BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.
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