医务人员临终关怀知识、态度现状调查研究——以贵州省为例

目的 了解医务人员对临终关怀的认识和态度现状,分析其影响因素并提出建议,为培养临终关怀专业服务队伍,制定临终关怀干预政策提供理论依据。方法 采用分层随机抽样法,抽取贵州省1320名医务人员并开展问卷调查,使用SPSS 17.0软件分析数据。结果 医务人员临终关怀知识得分（7.63±2.273）,临终关怀态度得分（4.50±1.512）。性别（t=-2.536,P=0.011）、学历（t=3.163,P=0.002)和职称（t=3.867,P<0.001）对临终关怀知识得分影响有统计学意义;学历（t=2.249,P=0.025)和职称（t=2.465,P=0.014）对临终关怀态度影响有统计学意义。临终关怀知识和临终关怀态度呈正相关（r=0.544,P<0.001）。结论 医务人员缺乏专业临终关怀知识,临终关怀态度不积极。建议政府加大对临终关怀的扶持力度,规范医务人员在校期间和继续教育阶段的临终关怀教育,同时鼓励高学历、高职称医务人员加入临终关怀服务队伍。

Knowledge and attitude of hospice care among health-care providers-a case study of Guizhou Province

Objective To investigate the current situation of knowledge and attitude about hospice care among health-care providers, so as to provide a theoretical basis for cultivating the professional service team of hospice care and formulating hospice care intervention policies. Methods A questionnaire survey was conducted among 1320 health-care providers in 9 cities of Guizhou Province by stratified sampling method. And SPSS 17.0 software was used to analyze the data. Results The result showed health-care providers’ average score on hospice care knowledge was(7.63±2.273) and hospice care attitude of that was(4.50±1.512). According to multivariate linear regression analysis, gender(t=-2.536, P=0.011), educational background(t=3.163, P=0.002) and professional title(t=3.867, P<0.001) of health-care providers had significant differences on hospice care knowledge score. Educational background(t=2.249, P=0.025) and professional titles(t=2.465, P=0.014) of health-care providers had significant differences on hospice care attitude score. The knowledge of hospice care was positively correlated with the attitude of health-care providers(r=0.544, P<0.001). Conclusion Health-care providers lack hospice expertise and the attitude of hospice care is negative. It is suggested that the government should strengthen the support for hospice care, standardize the education and continue training of hospice care for health-care providers, and encourage health-care providers with high academic degrees and professional titles to join the hospice service team.