CAJ | 학술논문

目的：了解医护人员对晚期老年痴呆症患者姑息照护的态度及其影响因素，为晚期老年痴呆症患者姑息照护实践提供依据。方法对本市4所三级甲等综合医院神经内科和老年病科107名医护人员进行问卷调查，内容包括：医护人员的一般资料，对姑息照护的认知及姑息照护态度等，了解医护人员对姑息照护的态度和认知。结果姑息照护态度问卷中总量表得分均值为3．12±0．32分，三维度得分均值分别为3．35±0．58分、3．17±0．43分、2．74±0．49分。除外2维度与总量表得分比较无显著性差异（P＞0．05），以上四个均值两两比较均有显著性差异（P＜0．05）。年龄、性别、职称、职业四个因素对于态度问卷的总量表得分是重要的影响因素。结论医护人员对于姑息照护的态度总体上是积极的、正面的，认可了姑息照护的有效性，但是对于姑息照护的实施存在认知及与患者（包括家属）沟通方面的问题。
목적：료해의호인원대만기노년치태증환자고식조호적태도급기영향인소，위만기노년치태증환자고식조호실천제공의거。방법대본시4소삼급갑등종합의원신경내과화노년병과107명의호인원진행문권조사，내용포괄：의호인원적일반자료，대고식조호적인지급고식조호태도등，료해의호인원대고식조호적태도화인지。결과고식조호태도문권중총량표득분균치위3．12±0．32분，삼유도득분균치분별위3．35±0．58분、3．17±0．43분、2．74±0．49분。제외2유도여총량표득분비교무현저성차이（P＞0．05），이상사개균치량량비교균유현저성차이（P＜0．05）。년령、성별、직칭、직업사개인소대우태도문권적총량표득분시중요적영향인소。결론의호인원대우고식조호적태도총체상시적겁적、정면적，인가료고식조호적유효성，단시대우고식조호적실시존재인지급여환자（포괄가속）구통방면적문제。
Objective To investigate staff attitude of palliative care and provide scientific basis for palliative care .Methods 107 staff from 3 first class hospitals were interviewed in view of attitude of palliative care ,their views to palliative care .Re-sults Attitude questionnaires of palliative care total scores mean was 3 .12 ± 0 .32 ,three dimensional scores were 3 .35 ± 0 .58 , 3 .17 ± 0 .43 ,2 .74 ± 0 .49 .Except for the comparison of 2 dimensions and total scores(P>0 .05) ,others was significantly dif-ferent (P<0 .05) .Age ,sex ,occupation titles were four important factors for Attitude Questionnaire total score .Conclusion The staff attitude is positive for palliative care in general ,affirmed the validity of palliative care ,but the whole status quo of the staff knowledge and attitudes of palliative care are not satisfied and many problems will need to be further solve .