中年群体人群临终关怀态度及影响因素调查

A study of Hospice care attitude and its factors over middle-aged people

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

徐州医科大学 ;
徐州医科大学附属医院 ;
徐州医科大学附属医院 徐州东方人民医院 ;
徐州医科大徐附属医院 ;

摘要
目的:调查研究中年群体临终关怀意愿现状及其相关影响因素。方法:自主设计临终关怀相关态度问卷,选择560名中年医护专业工作者和社会人员,采用频数分析、x2检验、单因素方差分析对调查数据进行统计学分析。 结果:(1)不同受教育程度的社会群体对临终关怀的了解程度、认同层度及其避讳死亡的程度、对死亡教育的需求程度的差异有统计学意义(X2=36.27、13.69、13.22、7.99。且P均<0.05)。(2)社会群体平均护理花费预期低于实际水平。(3)性别、职称是医护工作从事临终关怀意愿的影响因素,有统计学意义(X2=6.17、35.63。且P均<0.05)。课堂教学与专业教材是医护群体临终关怀相关知识最主要来源途径,并且两个类别群体对将预生命期长短纳入准入标准、有必要关注临终患者的心理健康持积极态度。结论:医学院校和相关机构要从群众受教育程度、群众服务消费心理预期、医疗护理团队建设、未来老年群体临终服务专业需求等方面采取积极措施,发展临终关怀专业化服务,应对日益增多的老龄化社会需求。
Abstract
Objective: To investigate the hospice care attitudes and its related factors of middle-aged people. Methods: A self-designed questionnaire about hospice care was used to investigate 560 middle-aged medical and social groups. The data were expressed in X2 test, one-way ANOVA, and frequency analysis were used to analyze the data. Results:(1) There were significant differences among social groups with different educational levels in the degree of understanding of hospice care, the level of identity,the degree of avoiding death, and the need for death education (X2=36.27, 13.69, 13.22, 7.99;all P < 0.05). (2) The average cost of care for social groups is expected to be lower than the actual level. (3) There were significant differences in the willingness of health care workers with different gender and professional title to engage in hospice care(X2=6.17,35.63;P < 0.05). Classroom teaching and professional teaching materials were the main sources of hospice care-related knowledge for medical and nursing groups. And the two groups have a positive attitude towards caring for the mental health of terminally ill patients and including the length of life before death into the admission criteria. Conclusion: Medical schools and related institutions should take active measures to develop specialized hospice services in response to the increasing needs of an aging society in terms of the level of education of the public, the psychological expectations of the public in terms of consumption, the construction of medical and nursing teams, and the professional needs of the future elderly population for end-of-life services.
关键词
临终关怀;中年群体;态度;影响因素
KeyWord
Hospice care; Middle-aged people; Attitude; Related factors
基金项目
页码 628-631
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杨惠明,燕丛,朱士光,张才溢,耿德勤*,牟英峰. 中年群体人群临终关怀态度及影响因素调查 [J]. 国际精神病学杂志. 2022; 49; (4). 628 - 631.

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