PDF(Pubmed)
Abstract：
Background and Objectives: Death is an unavoidable experience in any person\'s life and affects not only the dying person but also their caregivers. The dying process has been displaced from homes to health care facilities in the majority of cases. Facing death and dying has become an everyday life of health care professionals (HCP), especially in palliative care (PC) settings. This study aimed to investigate the death attitudes among HCPs in Serbia. Materials and Methods: The Serbian version of the Death Attitude Profile-Revised (DAP-RSp) was used as a measurement instrument. Results: The average age of the 180 included participants was 42.2 ± 9.9 years; the majority were females (70.0%), with more than 10 years of working experience (73.0%), physicians (70.0%) and those working in a non-oncological (non-ONC) field (57.78%). The mean total score of DAP-RSp was 124.80 ± 22.44. The highest mean score was observed in the neutral acceptance dimension (NA) (5.82 ± 0.90) and lowest in the Escape acceptance (EA) (2.57 ± 1.21). Higher negative death attitudes were reported among nurses compared to physicians (p = 0.002). Statistically significant differences were observed in the fear of death (FD) and death avoidance (DA) domains, favoring PC specialists and oncologists (p = 0.004; p = 0.015). Physicians working in Oncology (ONC) showed lower FD values (p = 0.001) compared to non-ONC departments. Conclusions: Attitudes toward death among HCPs are of great importance for the well-being of both HCPs and patients. Negative attitudes can lead to deficient care. The fear of death is highly represented among Serbian HCPs working in non-ONC fields, including both nurses and physicians. This study emphasizes the need for further research to comprehensively explore and understand HCPs\' attitudes toward death. This research highlights the need for the development of an educational curriculum across all levels of medical education, aimed at overcoming the fear of death and enhancing coping strategies, which will improve the care for patients diagnosed with terminal illnesses.
摘要：
背景和目的：死亡是任何人一生中不可避免的经历，不仅影响到垂死的人，也影响到他们的照顾者。在大多数情况下，死亡过程已从家庭转移到保健设施。面对死亡和死亡已成为医疗保健专业人员（HCP）的日常生活，尤其是在姑息治疗（PC）设置。本研究旨在调查塞尔维亚HCPs的死亡态度。材料和方法：塞尔维亚版本的死亡态度概况修订（DAP-RSp）用作测量仪器。结果：180名参与者的平均年龄为42.2±9.9岁；大多数为女性（70.0％），10年以上工作经验（73.0%），医生（70.0％）和在非肿瘤（非ONC）领域工作的人（57.78％）。DAP-RSp的平均总分为124.80±22.44。在中性接受维度（NA）中观察到最高的平均得分（5.82±0.90），在逃生接受维度（EA）中最低（2.57±1.21）。与医生相比，护士的负面死亡态度更高（p=0.002）。在死亡恐惧（FD）和死亡回避（DA）领域观察到统计学上的显着差异，偏爱PC专家和肿瘤学家（p=0.004；p=0.015）。与非ONC部门相比，在肿瘤学（ONC）工作的医师显示较低的FD值（p=0.001）。结论：HCPs对死亡的态度对于HCPs和患者的福祉都非常重要。消极的态度会导致缺乏护理。在非ONC领域工作的塞尔维亚HCP中，对死亡的恐惧得到了很高的体现，包括护士和医生。本研究强调需要进一步研究以全面探索和理解HCPs对死亡的态度。这项研究强调了在各级医学教育中发展教育课程的必要性，旨在克服对死亡的恐惧，加强应对策略，这将改善对被诊断患有绝症的患者的护理。
