背景:新生儿护士应在必要时提供及时和高质量的姑息治疗。有必要调查知识,新生儿护士姑息护理的态度和行为,为临床姑息治疗提供参考和依据。
方法:选取2022年12月1-16日中国某三级医院新生儿重症监护病房(NICU)护士。姑息治疗知识,态度和行为问卷用于评估姑息护理知识的现状,NICU护士的态度和行为。采用单因素分析和多因素logistic回归分析影响因素。
结果:最终纳入122名护士。新生儿护士知识平均得分为7.68±2.93,态度平均得分为26.24±7.11,行为平均得分为40.55±8.98,平均总分为74.03±10.17。斯皮尔曼相关性表明,知识得分,新生儿护士姑息护理态度和行为与年龄相关(r=0.541),年工作经验(r=0.622)和职称(r=0.576)(均P<0.05)。年龄(OR=1.515,95CI:1.204~1.796),年工作经验(OR=2.488,95CI:2.003~2.865)和职称(OR=2.801,95CI:2.434~3.155)是知识得分的影响因素,姑息治疗的态度和行为(均P<0.05)。
■NICU护士对姑息治疗持积极态度,但是姑息治疗的实践行为较少,缺乏相关知识。要结合知识现状进行针对性培训,NICU护士对提高NICU护士姑息护理能力和质量的态度和做法。
BACKGROUND: Neonatal nurses should provide timely and high-quality palliative care whenever necessary. It\'s necessary to investigate the knowledge, attitude and behavior of palliative care among neonatal nurses, to provide references and evidences for clinical palliative care.
METHODS: Neonatal intensive care unit (NICU) nurses in a tertiary hospital of China were selected from December 1 to 16, 2022. The palliative care knowledge, attitude and behavior questionnaire was used to evaluate the current situation of palliative nursing knowledge, attitude and behavior of NICU nurses. Univariate analysis and multivariate logistic regression analysis were used to analyze the influencing factors.
RESULTS: 122 nurses were finally included. The average score of knowledge in neonatal nurses was 7.68 ± 2.93, the average score of attitude was 26.24 ± 7.11, the score of behavior was 40.55 ± 8.98, the average total score was 74.03 ± 10.17. Spearman correlation indicated that score of knowledge, attitude and behavior of palliative care in neonatal nurses were correlated with the age(r = 0.541), year of work experience(r = 0.622) and professional ranks and titles(r = 0.576) (all P < 0.05). Age (OR = 1.515, 95%CI: 1.204 ~ 1.796), year of work experience (OR = 2.488, 95%CI: 2.003 ~ 2.865) and professional ranks and titles (OR = 2.801, 95%CI: 2.434 ~ 3.155) were the influencing factors of score of knowledge, attitude and behavior of palliative care (all P < 0.05).
UNASSIGNED: NICU nurses have a positive attitude towards palliative care, but the practical behavior of palliative care is less and lack of relevant knowledge. Targeted training should be carried out combined with the current situation of knowledge, attitude and practice of NICU nurses to improve the palliative care ability and quality of NICU nurses.