天津市ICU护士对预先指示知识和态度的调查研究

摘要

Objective To investigate awareness and attitude of advance directives among ICU nurses and analyze its influencing factors,and to provide references for promotion and application of advance directives in China.Methods A questionnaire survey of 256 ICU nurses from secondary and higher hospitals in Tianjin was conducted from December 2016 to January 2017,and a self-designed questionnaire of awareness and attitude of advance directives was used to measure nurses' awareness,attitude and obstacles of promotion.Results The total score of advance directives knowledge was(23.45±6.34).There were 222 nurses(90.6％)who supported the use of advance directives.‘Our country has no relevant legal support,and it is difficult to implement advance directives’ was the primary obstacle.The number of cared patients daily,children situation and hospital level were influencing factors of attitude (P＜0.05).Conclusion ICU nurses have relatively low level of knowledge of advance directives.ICU nurses hold a positive attitude towards advance directives,but there are still concerns;nurses who have the number of cared patients daily ≥3,have children,and from tertiary hospitals have a higher rate of approval.%目的 调查ICU护士对预先指示的知识和态度,并分析影响ICU护士预先指示态度的因素,为预先指示在我国的推广及应用提供参考.方法 2016年12月-2017年1月对天津市245名二级及以上医院的ICU护士进行问卷调查,使用自设预先指示知识及态度问卷测量ICU护士对预先指示知识、态度的情况,并分析态度的影响因素.结果 ICU护士的预先指示知识的得分为(23.45±6.34)分;222名(90.6％)ICU护士支持使用预先指示;“我国没有相关的法律支持,预先指示很难施行”是阻碍预先指示在我国推广的首要因素.ICU护士每天照顾患者的数量、护士有无子女、所在医院的等级是影响预先指示态度的因素.结论 ICU护士对预先指示的知识处于较低水平,对预先指示持积极态度.每天照顾患者≥3例、育有子女、三级医院的ICU护士对预先指示的态度较好.