医护人员对晚期老年痴呆症患者姑息照护态度的调查分析

目的了解医护人员对晚期老年痴呆症患者姑息照护的态度及其影响因素,为晚期老年痴呆症患者姑息照护实践提供依据。方法对本市4所三级甲等综合医院神经内科和老年病科107名医护人员进行问卷调查,内容包括:医护人员的一般资料,对姑息照护的认知及姑息照护态度等,了解医护人员对姑息照护的态度和认知。结果姑息照护态度问卷中总量表得分均值为3.12±0.32分,三维度得分均值分别为3.35±0.58分、3.17±0.43分、2.74±0.49分。除外2维度与总量表得分比较无显著性差异(P0.05),以上四个均值两两比较均有显著性差异(P0.05)。年龄、性别、职称、职业四个因素对于态度问卷的总量表得分是重要的影响因素。结论医护人员对于姑息照护的态度总体上是积极的、正面的,认可了姑息照护的有效性,但是对于姑息照护的实施存在认知及与患者(包括家属)沟通方面的问题。

A Survey of the Attitude to Palliative Care for Patients with Advanced Dementia in View of Medical and Nursing Staff

Objective To investigate staff attitude of palliative care and provide scientific basis for palliative care .Methods 107 staff from 3 first class hospitals were interviewed in view of attitude of palliative care ,their views to palliative care .Re-sults Attitude questionnaires of palliative care total scores mean was 3 .12 ± 0 .32 ,three dimensional scores were 3 .35 ± 0 .58 , 3 .17 ± 0 .43 ,2 .74 ± 0 .49 .Except for the comparison of 2 dimensions and total scores（P＆gt;0 .05） ,others was significantly dif-ferent （P〈0 .05） .Age ,sex ,occupation titles were four important factors for Attitude Questionnaire total score .Conclusion The staff attitude is positive for palliative care in general ,affirmed the validity of palliative care ,but the whole status quo of the staff knowledge and attitudes of palliative care are not satisfied and many problems will need to be further solve .