Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (6): 104-109.doi: 10.6040/j.issn.1671-7554.0.2020.0387

Previous Articles    

Investigation and analysis of palliative care knowledge and attitude among oncology professionals

QU Yue, WANG Aijun, ZHENG Xing, ZHANG Jinxin, SHI Xiangting, CAO Yingjuan   

  1. Department of Medical Oncology, Cancer Center, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

PDF (PC)

29

Abstract: Objective To investigate the current situation and influencing factors of palliative care knowledge and attitude among medical staff in the Oncology Department. Methods A total of 278 medical staff from the Cancer Center, Qilu Hospital, Cheeloo College of Medicine, Shandong University and Shandong Cancer Hospital were surveyed with Palliative Care Quiz for Nursing(PCQN)and Frommelt Attitude Toward Care of Dying Patients(C-FATCOD)by cluster sampling from July to September 2019. Results The total score of palliative care knowledge was(11.72±2.98). The philosophy and principle of palliative care scored the lowest, with a correct answer rate of 42.75%. The total score of palliative care attitude of the medical staff was(104.37±11.83). There were no significant differences in the knowledge scores of medical staff with different demographic characteristics(P>0.05). There were statistically significant differences in the scores of attitude dimensions among staff with different ages, departments and titles(P<0.05). There were significant differences in the scores of attitude dimensions of staff with different psychosocial spiritual supports(P<0.05). Multiple linear regression analysis showed that Medical Oncology Department, senior professional title, and psychosocial spiritual support of knowledge dimension had significant effects on palliative medical attitude among medical staff(P=0.047, P=0.006, P=0.015). Conclusion Staff in the Department of Oncology do not have good knowledge or attitude of palliative care. Efforts should be made to strengthen the training of palliative care knowledge and enhance the active attitude.

Key words: Department of Medical Oncology, Medical staff, Palliative care, Knowledge, Attitude

CLC Number: 

  • R48
[1] 郑荣寿, 孙可欣, 张思维, 等. 2015年中国恶性肿瘤流行情况分析[J]. 中华肿瘤杂志, 2019, 41(1): 19-28. ZHENG Rongshou, SUN Kexin, ZHANG Siwei, et al. Report of cancer epidemiology in China, 2015[J]. Chinese Journal of Oncology, 2019, 41(1): 19-28.
[2] 宁晓红. 中国缓和医疗的发展和思考[J]. 中国医学科学院学报, 2019, 41(5): 723-725. NING Xiaohong. Development and Reflection of Chinas palliative Care[J]. Acta Academiae Medicinae Sinicae, 2019, 41(5): 723-725.
[3] World Health Organization(WHO): WHO definition of palliative care. 2006. Available from: http://www.who.int/cancer/palliative/definition/en/. Retrieved date: 24 July, 2019
[4] 贺苗, 曹永福, 王云岭, 等. 中国安宁疗护的多元化反思[J]. 中国医学伦理学, 2018, 31(5): 581-590. HE Miao, CAO Yongfu, WANG Yunling, et al. Diversification Reflection on Palliative Care in China[J]. Chinese Medical Ethics, 2018, 31(5): 581-590.
[5] 宁晓红. 中国大陆应该大力发展安宁缓和医疗事业——北京协和医院的经验体会[J]. 中国医学伦理学, 2019, 32(3): 293-298. NING Xiaohong. Mainland China Should Vigorously Develop Hospice and Palliative Care: Experience of Peking Union Medical College Hospital[J]. Chinese Medical Ethics, 2019, 32(3): 293-298.
[6] 邸淑珍, 张靖, 张学茹, 等. 安宁疗护的起源、发展与展望[J]. 医学研究与教育, 2018, 35(1): 7-12. DI Shuzhen, ZHANG Jing, ZHANG Xueru, et al. History, development and prospect of hospice care[J]. Medical Research and Education, 2018, 35(1): 7-12.
[7] 桂欣钰, 杨晶, 杨丹, 等. 中国本土舒缓医学的发展现状和前景[J]. 医学与哲学, 2016, 37(24): 83-87. GUI Xinyu, YANG Jing, YANG Dan, et al. The Present Developing Status and Prospect of Palliative Medicine in Mainland China[J]. Medicine & Philosophy, 2016, 37(24): 83-87.
[8] 邹敏. 上海市护士姑息护理知识和态度的现状调查与分析[D]. 上海: 第二军医大学, 2007.
[9] Dumanovsky T, Augustin R, Rogers M, et al. The growth of palliative care in US hospitals: a status report[J]. Journal of Palliative Medicine, 2016, 19(1): 8-15.
[10] Xiaohong Ning. Implement the Palliative Care in Medical Practice of a Tertiary Comprehensive Hospital in China[J]. Chinese Medical Sciences Journal, 2019, 33(4): 210-215.
[11] Irwin SA, Shega JW, Sachs GA. The Importance of Palliative Care for Dementia[J]. The American Journal of Geriatric Psychiatry, 2018, 26(2): 235-237.
[12] Penders YWH, Gilissen J, Moreels S, et al. Palliative care service use by older people: Time trends from a mortality follow-back study between 2005 and 2014[J]. Palliative Medicine, 2018, 32(2): 466-475.
[13] Raco M, Burdett T, Heaslip V. Exploring an integrated palliative care model for older people:an integrative review[J]. Journal of Integrated Care, 2019, 27(2): 111-122.
[14] 葛楠, 曲璇, 宁晓红, 等. 舒缓医学继续教育需求的初步调查[J]. 中国医学科学院学报, 2018, 40(3): 390-394. GE Nan, QU Xuan, NING Xiaohong, et al. Needs of Continuing Education on Hospice and Palliative Care in China: A Questionnaire-based Survey[J]. Acta Academiae Medicinae Sinicae, 2018, 40(3): 390-394.
[15] World Health Organization. WHO Definition of palliative care[EB/OL].[2016-02-05]. http://www.who.int/cancer palliative/definition/en.
[16] 姜姗, 李忠, 路桂军, 等. 安宁疗护与缓和医疗: 相关概念辨析、关键要素及实践应用[J].医学与哲学, 2019, 40(2): 37-42. JIANG Shan, LI Zhong, LU Guijun, et al. Conceptual Distinctions, Key Elements and Practical Applications of Hospice Care and Palliative Care[J]. Medicine & Philosophy, 2019, 40(2): 37-42.
[17] 刘瑾, 徐春艳. 肿瘤医院护士对临终照护的态度及影响因素分析[J]. 中国社会医学杂志, 2018, 35(5): 502-504. LIU Jin, XU Chunyan. Analysis of Nurses Attitude Toward Hospice Care and Its Influencing Factors in Cancer Hospital[J]. Chinese Journal of Social Medicine, 2018, 35(5): 502-504.
[18] 陆宇晗, 杨红, 赵艺媛, 等. 肿瘤科护士对临终照护的态度及影响因素的调查[J]. 护理研究, 2016, 30(21): 2647-2649. LU Yuhan, YANG Hong, ZHAO Yiyuan, et al. Survey of attitude of nurses in oncology department to terminal care and its influencing factors[J]. Chinese Nursing Research, 2016, 30(21): 2647-2649.
[19] 胡敏, 刘登, 陈琦, 等. 上海市舒缓疗护人力资源现状的SWOT分析和对策研究[J]. 中华全科医学, 2019, 17(6): 990-993. HU Min, LIU Deng, CHEN Qi, et al. SWOT analysis and countermeasure research on the status quo of human resources in Shanghai[J]. Chinese Journal of General Practice, 2019, 17(6): 990-993.
[20] 诸海燕, 张宇平, 王玲欢, 等. 基层医院护士安宁疗护知识与照护态度的调查分析[J]. 中华现代护理杂志, 2016, 22(34): 4894-4896. ZHU Haiyan, ZHANG Yuping, WANG Linghuan, et al. Investigation of palliative care knowledge and attitude of nurses in primary hospitals[J]. Chinese Journal of Modern Nursing, 2016, 22(34): 4894-4896.
[21] 宋宇娟, 武丽桂, 袁玲, 等. 南京地区护士对姑息护理认知及其态度调查研究[J]. 护理研究, 2018, 32(13): 2103-2106. SONG Yujuan, WU Ligui, YAUN Ling, et al. Cognition and attitude on palliative care of nurses in Nanjing area[J]. Chinese Nursing Research, 2018, 32(13): 2103-2106.
[22] 孟召霞. 照顾临终患者态度量表的跨文化调适及其应用的研究[D]. 北京: 北京中医药大学, 2014.
[23] 王丽萍. 中文版佛罗梅尔特临终关怀态度量表(FATCOD-B)的修订及应用研究[D]. 广州: 南方医科大学, 2016.
[1] LIU Yumei, YUAN Zhongshang, SUN Xiubin, LI Xiujun, WANG Shukang, LIU Jing. Survey of medical students attitudes toward statistics and analysis of influencing factors [J]. Journal of Shandong University (Health Sciences), 2020, 58(11): 109-114.
[2] SUN Yaoyao, LIU Fei, CAO Fenglin. Job burnout subtypes and emotional problems among medical staff in a tertiary hospital [J]. Journal of Shandong University (Health Sciences), 2019, 57(6): 100-105.
[3] FENG Zhiyu, GUO Rui, YANG Yanliang, LI Haiming, DONG Mingliang, XU Huihui, LIU Yimin, GUO Kai, WANG Guangzhen, WANG Hui. Initial palliative repair of pulmonary atresia with ventricular septal defect by rehabilitating right ventricle to pulmonary artery connection [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(11): 41-45.
[4] ZHAO Ling-bo1, SUN Qiang1, LI Cheng1, Malin Grape2. Antibiotics in rural Shandong Province of China： physicians cognition and behavior [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(2): 101-105.
[5] WANG Lin-lin1, JIA Cun-xian1, QIU Hui-min2, XU Ai-qiang3, HAN Mei1, LIU Hui1. Research on cognition and attitude towards suicide among
attempted suicides in rural area [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(9): 118-.
[6] JIA Cun-xian1, ZHUANG Mao-qiang1, WANG Jian2. Relationship between subjective well-being and attitude towards
suicide in western rural residents of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(8): 128-.
[7] LOU Peng-yu， DAI Hai-yan， YI Li. Knowledge-attitude-practice analysis of rural residents on
essential medicine system in Shandong province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(12): 122-125.
[8] ZHAO Wei-ning, XU Ling-zhong, WANG Xing-zhou, ZHOU Cheng-chao, LIU Ting-ting. Knowledge, attitude and practice of township hospital doctors in
Shandong Province on the national essential medicine system [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(1): 161-164.
[9] XIN Qing1,2， LIU Dong-mei1, SUN Guo-fen2, WANG Li2, ZHANG Cheng-qiu2, ZHAO Rui-min3, HOU Lei3. Awareness and attitude towards AIDS among students in  a university of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(5): 143-146.
[10] LI Zhe1, YANG Ping2. Cognition level of law of the medical staff in Weihai and its related factors [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 115-119.
[11] LI Zhe1, YANG Ping2. Cognition level of law of the medical staff in Weihai and its related factors [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(3): 115-119.
[12] LI Feifei1, SUN Tong2, LIU Yanxun1, Hou Jia xiang2
. Passive smoking of adults: a research survey [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(04): 129-132.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd