CAJ | 학술논문

目的了解我国医护人员对姑息治疗的认知程度,为医护职业教育及终末期患者治疗提供依据.方法 2011年1-3月采用随机抽样的方法,通过自制调查问卷对山东省、河南省、湖北省、安徽省、陕西省等地区不同级别的7家医疗机构的280名医护人员对姑息治疗的认知情况进行调查.结果共发放问卷280份,回收有效问卷269份,有效回收率为96.1％.不同工作内容、年龄、工作年限及所在科室均对医护人员的姑息治疗认知不同,其中医生、年龄为36～45岁、工作年限为10年以上的医护人员认知度较高,得分分别为(25.81±5.51),(26.88±4.40),(26.23±4.92)分；而护理人员、年龄在25岁以下、工作年限5年以下及外科的医护人员的对姑息治疗的认知度较低,得分分别为(22.25±6.31),(23.68±6.56),(23.57±5.78),(22.55±6.49)分.各组得分比较,差异具有统计学意义(F值分别为6.989,3.961,5.877,2.677；P＜0.01).结论需要加强医护工作者,特别是护理人员的姑息治疗教育,为患者提供更加合理的医疗服务.
목적 료해아국의호인원대고식치료적인지정도,위의호직업교육급종말기환자치료제공의거.방법 2011년1-3월채용수궤추양적방법,통과자제조사문권대산동성、하남성、호북성、안휘성、합서성등지구불동급별적7가의료궤구적280명의호인원대고식치료적인지정황진행조사.결과 공발방문권280빈,회수유효문권269빈,유효회수솔위96.1％.불동공작내용、년령、공작년한급소재과실균대의호인원적고식치료인지불동,기중의생、년령위36～45세、공작년한위10년이상적의호인원인지도교고,득분분별위(25.81±5.51),(26.88±4.40),(26.23±4.92)분；이호리인원、년령재25세이하、공작년한5년이하급외과적의호인원적대고식치료적인지도교저,득분분별위(22.25±6.31),(23.68±6.56),(23.57±5.78),(22.55±6.49)분.각조득분비교,차이구유통계학의의(F치분별위6.989,3.961,5.877,2.677；P＜0.01).결론 수요가강의호공작자,특별시호리인원적고식치료교육,위환자제공경가합리적의료복무.
Objective To investigate the palliative care cognition of medical workers and provide evidence for medical worker' s vocational education and treatment of patients with end-stage.Methods 280medical workers from seven different hospitals in five provinces were surveyed with self-designed questionnaire of their palliative care cognition from January to March 2011.Results 280 questionnaires were handed out and 269 were recovered,with the recovery rate of 96.1％.The palliative care cognition of medical workers was affected by work type,age,working years,and working departments.Doctors and medical workers with age between 36 and 45 years old and working years more than 10 years had higher palliative care cognition,and the scores were respectively (25.81 ± 5.51),(26.88 ± 4.40) and (26.23 ± 4.92).Nurses,medical workers with age under 25 years old,working years less than 5 years and in surgical department had lower palliative care cognition,and the scores were respectively (22.25 ± 6.31),(23.68 ± 6.56),(23.57 ± 5.78),(22.55 ± 6.49).The differences were statistically significant (F =6.989,3.961,5.877,2.677,respectively; P ＜0.01).Conclusions Education of palliative care for medical workers,especially for nurses,is needed to provide high quality medical service for patients.