临终关怀护理对护理人员、患者及其家属临终关怀态度的影响

摘要

Objective To explore the influence of hospice care on hospice care attitude of nurses, patients and their family members, so as to provide clinical data and reference for promoting hospice care. Methods A total of 450 persons, including 150 terminal patients hospitalized in Shenzhen People's Hospital from May to December 2016, 150 family members of these patients, and 150 nurses involved, were selected by convenience sampling. Detailed rules and regulations of hospice care were made and implemented. Hospice care attitude of nurses, patients and their family members was investigated by questionnaires before and after implementation of hospice care.Results After three-month implementation of hospice care, among the patients, their family members and nurses, scores of altogether 12 entries were statistically different from before (P<0.05), mainly including opinion on death education, the right to know conditions of the illness, comfortable environment and desire for high-level nursing.Conclusions By implementing hospice care, awareness on hospice care of nurses, patients and their family members can be improved, a scientific conception on death can be built by patients and their family members, and quality of life of patients can be improved. Higher demands for nursing environment and skills are asked, so that satisfaction of the patients, their family members, and nurses can be enhanced.%目的 探讨实施临终关怀护理对护患及家属临终关怀态度的影响,为推广临终关怀提供临床数据和依据.方法 采用方便抽样法选取2016年5—12月深圳市人民医院的150例临终患者和150名临终患者家属以及150名参与护理的护理人员,共计450人,制定并实施临终关怀护理措施细则,通过调查问卷比较临终关怀护理措施实施前后三方临终关怀态度的变化.结果 临终关怀护理措施实施3个月后,患者、家属、护理人员共有12个条目得分与实施前相比,差异有统计学意义(P<0.05),主要表现在三方对死亡教育的认识、病情的知晓权以及舒适的环境和对高水平护理措施的需求等方面.结论 临终关怀护理措施的实施,可提高护理人员、患者及家属对临终关怀的认识,使患者和家属树立科学的死亡观念,提高患者生存质量,并且对护理环境和护理技能提出更高的要求,提高三方对临终关怀护理效果的满意度.