Aragón医院急救部门医护人员对死亡的焦虑和恐惧

Vázquez-García Daniel , Marisa De-la-Rica-Escuín , Concepción Germán-Bes , Ana-Luisa Caballero-Navarro
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摘要

目的描述阿拉贡医院急诊专业人员面对死亡时的焦虑程度。分析其与社会人口学、认知和工作相关变量的关系。方法:观察性、描述性和横断面研究。研究的对象和背景是阿拉贡医院急诊服务的卫生专业人员。采用非概率抽样选择(n = 230名参与者)。引入“科莱特-莱斯特死亡恐惧量表”测量死亡焦虑。数据是通过自行应用的远程信息处理问卷收集的。采用描述性统计和推断性统计分析研究变量之间的相关性。结果死亡焦虑的均值为94.58 ± 21.66,CI为95%:(91.76 ~ 97.39)(量表范围:28 ~ 140分)。与专业类别变量(医生、住院医师、护士和辅助护士)(p: 0.006)、性别(p: 0.001)、情绪自我管理培训水平(p: 0.03)、自我感知的心理健康水平(p: 0.07)和对缺乏姑息治疗/心理健康专业人员支持的感知(p: 0.006)存在显著关联。这种关联与年龄(Sig: 0.558)、总专业经验(p: 0.762)和紧急情况(p: 0.191)等变量无关。结论急诊病人面对死亡时的焦虑水平低于其他医院单位。职业类别、情绪自我管理训练程度和自我认知的心理健康水平等变量与面对死亡时的焦虑程度有关,需要进一步研究。
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Anxiety and fear of death in Health Professionals in Hospital Emergency services in Aragón

Objectives

To describe the levels of anxiety in the face of death in professionals from hospital emergency services in Aragon. To analyse its association with sociodemographic, perception and work-related variables.

Methodology

Observational, descriptive and cross-sectional study. The population and context of the study were health professionals in the hospital emergency services of Aragon. A non-probabilistic sampling selection was applied (n = 230 participants). The “Collet-Lester-Fear-of-Death-Scale” instrument was introduced to measure anxiety about death. The data was collected with a self-applied telematic questionnaire. Descriptive and inferential statistics were performed to analyse the association between the study variables.

Results

Mean values obtained for anxiety in the face of death were 94.58 ± 21.66 with a CI of 95%: (91.76–97.39) (range of scale: 28–140 points). A significant association was identified with the professional category variables (physicians, medical residents, nurses, and auxiliary nurses) (p: 0,006), gender (p: 0.001), level of training in emotional self-management (p: 0.03), self-perceived level of mental health (p: 0.07) and perception of lack of support from palliative care/mental health professionals (p: 0.006). This association was not obtained with the variables age (Sig: 0.558), total professional experience (p: 0.762) and in emergencies (p: 0.191).

Conclusion

The levels of anxiety in the face of death in the emergency hospital services are lower than those presented in other hospital units. Variables such as professional category, degree of training in emotional self-management and self-perceived level of mental health are related to levels of anxiety in the face of death and their study requires further work.

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