| 周娅楠,廖盈盈,程琳,郑芹,栾琰,严洁,李丽.三级医院医生预立医疗照护计划自我效能现状及影响因素[J].上海护理,2024,24(10): |
| 三级医院医生预立医疗照护计划自我效能现状及影响因素 |
| Analysis of Status Quo and Influencing Factors of Advance Care Planning Self-efficacy for Doctors in Tertiary Hospitals |
| DOI： |
| 中文关键词: 预立医疗照护计划 自我效能 医生 影响因素 |
| 英文关键词:Advance Care Planning Self-Efficacy Doctor Influence Factor |
| 基金项目:2020年上海市嘉定区第五批医学重点学科(项目)建设项目“军地三位一体居家安宁疗护照护中心建设”(2020-jdyxzdfcxk-01)；2022年国家社会科学“老龄化背景下超大城市居家安宁疗护智慧服务模式创新研究”(22BSH106) |
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| 中文摘要: |
| 目的 了解上海市三甲综合性医院医生的ACP自我效能现状并分析其影响因素。方法 采用便利抽样法,于2022年8月-10月使用一般资料调查表、中文版医生ACP自我效能量表、自制ACP沟通阻碍因素调查表,对上海市三所三甲综合性医院的医生进行调查,通过多重线性逐步回归分析医生ACP自我效能的影响因素。结果 181名医生的ACP自我效能平均得分为(60.98±12.72) 分。多重线性回归分析显示,男性、曾与亲友沟通过ACP、将来愿意主动与患者沟通ACP是影响医生ACP自我效能的重要影响因素(P<0.05)。担心增加患者心理负担(129/181)、家属不愿告知患者病情(118/181)、担心造成误会(101/181)是阻碍医生开展ACP沟通的主要因素。结论 医生的ACP自我效能处于中等偏上水平,在医院开展ACP教育培训具有可行性,可制定适宜的ACP培训方案,提升医生的ACP知识和技能,增强ACP自我效能,促进ACP的临床实践。 |
| 英文摘要: |
| Objective To understand the status quo of doctors’ ACP self-efficacy and analyze its influencing factors. Methods Convenient sampling was used to select doctors from three tertiary comprehensive hospitals in Shanghai from August to October 2022. Doctors were invited to complete a survey using the general information questionnaire, the Chinese version of the physician’s ACP self-efficacy scale, and the self-developed questionnaire of ACP communication barriers. Multiple linear regression was used to analyze the factors associated with the ACP self-efficacy of doctors. Results The average score on ACP self-efficacy scale of 181 doctors was (60.98 ± 12.72). Multiple linear regression analysis showed that males, having discussed ACP with relatives and friends, and being willing to initiate ACP discussion with patients were important influencing factors of doctors’ ACP self-efficacy (P < 0.05). Concerns about increasing the psychological burden of patients (129/181), family members" unwillingness to inform patients of their illness (118/181), and fear of causing misunderstanding (101/181) were the main factors that hindered doctors from carrying out ACP discussion. Conclusions Doctors’ ACP self-efficacy is at a moderately high level and it is feasible to carry out ACP education and training in hospitals. Appropriate ACP training programs can be developed to improve doctors’ knowledge and skills about ACP, enhance ACP self-efficacy, and promote the clinical practice of ACP. |
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