中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
8期
818-822
,共5页
预先指示%医护人员%态度%影响因素
預先指示%醫護人員%態度%影響因素
예선지시%의호인원%태도%영향인소
Advance Directives%physician and nurses%attitude%inlfuencing factors
目的：调查临床医护人员对预先指示的态度并分析其影响因素，为有针对性地在临床医护人员中推广预先指示观念提供依据。方法：采用分层抽样与方便抽样相结合的方法，对郑州市不同等级医疗机构的298名一线医护人员进行问卷调查，采用logistic回归分析筛选医护人员预先指示态度的影响因素。结果：86.6%的医护人员支持使用预先指示，子女情况、患者家属因素（曾遇到患者家属因治疗措施争执）、患者自主权、促进安乐死的应用、有被滥用的可能（患者可能被迫签署及医生会忽视病情）、医护人员主观因素（工作中情感负担过重、讨论预先指示显得冷漠麻木及应尽可能延长患者生命）等为预先指示态度的影响因素。结论：医护人员对预先指示的态度受多种因素影响，应采取针对性措施对医护人员、患者及家属进行教育，为预先指示的应用做好准备。
目的：調查臨床醫護人員對預先指示的態度併分析其影響因素，為有針對性地在臨床醫護人員中推廣預先指示觀唸提供依據。方法：採用分層抽樣與方便抽樣相結閤的方法，對鄭州市不同等級醫療機構的298名一線醫護人員進行問捲調查，採用logistic迴歸分析篩選醫護人員預先指示態度的影響因素。結果：86.6%的醫護人員支持使用預先指示，子女情況、患者傢屬因素（曾遇到患者傢屬因治療措施爭執）、患者自主權、促進安樂死的應用、有被濫用的可能（患者可能被迫籤署及醫生會忽視病情）、醫護人員主觀因素（工作中情感負擔過重、討論預先指示顯得冷漠痳木及應儘可能延長患者生命）等為預先指示態度的影響因素。結論：醫護人員對預先指示的態度受多種因素影響，應採取針對性措施對醫護人員、患者及傢屬進行教育，為預先指示的應用做好準備。
목적：조사림상의호인원대예선지시적태도병분석기영향인소，위유침대성지재림상의호인원중추엄예선지시관념제공의거。방법：채용분층추양여방편추양상결합적방법，대정주시불동등급의료궤구적298명일선의호인원진행문권조사，채용logistic회귀분석사선의호인원예선지시태도적영향인소。결과：86.6%적의호인원지지사용예선지시，자녀정황、환자가속인소（증우도환자가속인치료조시쟁집）、환자자주권、촉진안악사적응용、유피람용적가능（환자가능피박첨서급의생회홀시병정）、의호인원주관인소（공작중정감부담과중、토론예선지시현득랭막마목급응진가능연장환자생명）등위예선지시태도적영향인소。결론：의호인원대예선지시적태도수다충인소영향，응채취침대성조시대의호인원、환자급가속진행교육，위예선지시적응용주호준비。
Objective: To investigate physicians and nurses' attitude towards Advance Directives and analyze its inlfuencing factors. Methods: Through a combination of stratiifed sampling and convenient sampling method, 298 physicians and nurses from three different levels hospitals in Zhengzhou were investigated by self-designed questionnaire in 2012, to assess their knowledge and attitude towards Advance Directives, and to analyze the influencing factors by logistic regression. Results: Advance Directives were desired by 86.6 percent of respondents. Influencing factors of attitudes towards Advance Directives include patients' children, patients' family views, patients' autonomy, increased euthanasia, fear of being abused, physician and nurses' subjective factor, etc. Conclusion: Most physicians and nurses have inadequate knowledge of Advance Directives, but want to learn more. Factors associated with their attitude suggest several possible educational interventions for both medical staff and patients.
