|
|
Investigation on death anxiety of nurses in hepatobiliary surgery and analysis of influencing factors#br# |
ZHOU Lina WU Jindao GUO Yun |
Hepatobiliary Center, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210029, China |
|
|
Abstract Objective To investigate the death anxiety of nurses in hepatobiliary surgery and influencing factors, and to provide the basis for the hospital to formulate countermeasures to relieve the death anxiety of nurses. Methods Convenience sampling was used to conduct death anxiety surveys on 382 nurses in the Department of Hepatobiliary Surgery of four Class-A hospitals in Nanjing from July to December 2020 by using self-compiled general information questionnaire, death anxiety scale, and empathy. Descriptive analysis, single factor analysis, correlation analysis, and multiple linear hierarchical regression analysis were used to discuss related influencing factors. Results The score of death anxiety of hepatobiliary surgery nurses was (7.46±1.89) points, among which the score of emotional dimension was the highest, followed by stress and pain, time awareness, and cognition. There were statistically significant differences in the death anxiety scores of nurses with different working years, participation in death education, death of friends or relatives in the past five years, had suffered major diseases (P < 0.05). The empathy score of nurses in hepatobiliary surgery was (57.65±10.30) points. The death anxiety of nurses was negatively correlated with empathy (r = -0.643, P < 0.05). Multivariate linear hierarchical regression analysis showed that different working years, participation death education, death of friends or relatives in the past five years, major illnesses, and empathy were independent factors influencing the death anxiety of hepatobiliary surgery nurses (P < 0.05), which could explain 52.1% of the total variation. Conclusion The death anxiety level of hepatobiliary surgery nurses is relatively high. Hospital administrators should intervene in the death anxiety level of nurses in terms of death education and empathy, so as to improve the mental health of nurses and promote the development of high-quality nursing services.
|
|
|
|
|
[1] 杨永平,卢实春,丁惠国,等.原发性肝癌的分层筛查与监测指南(2020版)[J].中华肿瘤杂志,2021,43(1):60-77.
[2] 范建高,曾静.非酒精性脂肪性肝病的流行现状与危害[J].中华消化杂志,2020,40(9):577-580.
[3] 应倩,汪媛.肝癌流行现况和趋势分析[J].中国肿瘤,2020,29(3):185-191.
[4] 陈蓄,梁燕仪.临床护理人员死亡态度现状及影响因素的研究进展[J].中国医学伦理学,2016,29(6):985-989.
[5] Nia HS,Lehto RH,Ebadi A,et al. Death anxiety among nurses and health care professionals:A review article [J]. Int J Community Based Nurs Midwifery,2016,4(1):2-10.
[6] Memzies RE,Dar-Nimrod I. Death anxiety and its relationship with obsessive-compulsive disorder [J]. J Abnorm Psychol,2017,126(4):367-377.
[7] Iverach L,Menzies RG,Menzie RE. Death anxiety and itsrole in psychopathology:Reviewing the status of a transdiagnostic construct [J]. Clin Psychol Rev,2014,34(7):580-593.
[8] 焦卉,郭检生,陈丽.江西省老年人生命意义及其与死亡焦虑的关系[J].中国老年学杂志,2020,40(5):1066-1068.
[9] 陈兴强,蔡少莲.老龄社会背景下不同学历护理实习生死亡焦虑水平的调查研究[J].中国医药导报,2020,17(7):67-70.
[10] 陈小莉,杨士来.基层医院护士死亡焦虑现状及其影响因素[J].护理实践与研究,2020,17(18):27-29.
[11] 薛娜娜,刘玉芳,肖荷妹,等.河北省胸科医院护士死亡焦虑现状分析及临床干预[J].河北医科大学学报,2020, 41(5):592-596.
[12] Park KS,Yeom HA. Factors influencing Korean nurses’ attitudes towards hospice care [J]. Int Nurs Rev,2014, 61:563-569.
[13] 李凤侠,胡成文,许宝惠,等.合肥市5所三级甲等医院肿瘤科护士死亡应对能力现状及其影响因素分析[J].现代预防医学,2020,47(15):2716-2719,2728.
[14] 唐鲁,李玉香,周玲君,等.死亡教育讲座对护士死亡态度影响的研究[J].中国护理管理,2015,15(4):440-443.
[15] 原小岚,刘春兰.慢性心力衰竭患者预立医疗照护计划准备度水平及其影响因素分析[J].中国护理管理,2020, 20(7):990-995.
[16] 王雪莹.我国护士照护临终病人态度的研究进展[J].全科护理,2017,15(26):3237-3239,3242.
[17] 陈玲玲.护理专业学生死亡焦虑及死亡教育需求的调查研究[J].中华护理教育,2018,15(6):444-448.
[18] 张锐,刘鸿芹,谢伟群.肿瘤医院护士消极情绪和心理资本对个体成就感的影响[J].中国医药导报,2019,16(19):164-168.
[19] 朱晨,张玉润.省属综合医院护工离职意愿及相关影响因素分析[J].现代医院,2019,19(8):1134-1139,1143.
[20] 张梦琴,刘晓云.护生死亡教育需求现状及影响因素分析[J].护理管理杂志,2020,20(12):873-876.
[21] 程敬芹.儿科护士离职意愿现状及其影响因素分析[J].中国现代医生,2020,58(33):167-171,175.
[22] 卢豫黔.手术室护士职业倦怠感的相关性影响因素分析[J].中国医药科学,2021,11(12):146-149.
[23] 周芳,王冬华.不同等级医院急诊科护士离职意愿与社会支持的相关性研究[J].护理管理杂志,2015,15(9):611-614.
[24] 何月月,尹安春,黄秀美,等.共情能力在ICU护士死亡焦虑与临终关怀态度中的中介作用[J].上海护理,2020, 20(2):32-35.
|
|
|
|