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| 新型冠状病毒肺炎定点医院临床医师哀伤辅导现况调查 |
| 高旭东1,孔婵2*,范鸿儒3,张娟4,陈舒5,王晶6 |
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(1. 武汉轻工大学医学技术与护理学院护理教研室, 武汉 430023;
2. 华中科技大学同济医学院附属同济医院综合医疗科, 武汉 430030;
3. 武汉市第一医院心血管内科, 武汉 430022;
4. 武汉市第二医院护理部, 武汉 430014;
5. 武汉市第三医院医务处, 武汉 430060;
6. 武汉市第四医院神经外科, 武汉 430033
*通信作者) |
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| 摘要: |
| 目的 调查武汉市5所新型冠状病毒肺炎（COVID-19）定点医院临床医师的哀伤辅导现况，为医院管理工作提供参考。方法 使用基本资料问卷、哀伤辅导态度和技能量表对223名COVID-19定点医院的临床医师进行调查。结果 共收回有效问卷208份，回收有效率93.3%。COVID-19定点医院临床医师的哀伤辅导技能得分为（19.35±4.75）分，居中等偏下水平，其中专业职责和角色、接触丧亲家属频次是医师哀伤辅导技能的影响因素（P<0.01）；而临床医师的哀伤辅导态度得分为（33.21±9.23）分，居中等水平，其中是否接受过相关培训、沟通交流能力、哀伤辅导其他技能是医师哀伤辅导态度的影响因素（P<0.01）。结论 武汉市COVID-19定点医院临床医师哀伤辅导的技能及态度均有待改善，建议医院成立哀伤辅导委员会，建立完善的哀伤辅导体系，构建长效培训机制。 |
| 关键词: 新型冠状病毒肺炎 临床医师 哀伤辅导 态度 技能 |
| DOI：10.16781/j.0258-879x.2020.08.0843 |
| 投稿时间：2020-03-26修订日期：2020-05-30 |
| 基金项目:湖北省自然科学基金（2016CFB69），武汉轻工大学科研项目（2020Y25），武汉轻工大学教研项目（XQ2019005），武汉轻工大学通识课程教研项目（2019003），武汉轻工大学引进人才科研启动资金资助项目． |
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| A survey of grief counseling of clinicians from coronavirus disease 2019 designated hospitals |
| GAO Xu-dong1,KONG Chan2*,FAN Hong-ru3,ZHANG Juan4,CHEN Shu5,WANG Jing6 |
(1. Department of Nursing, College of Health Science and Nursing, Wuhan Polytechnic University, Wuhan 430023, Hubei, China;
2. General Medical Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China;
3. Department of Cardiology, Wuhan First Hospital, Wuhan 430022, Hubei, China;
4. Department of Nursing, Wuhan Second Hospital, Wuhan 430014, Hubei, China;
5. Medical Services Section, Wuhan Third Hospital, Wuhan 430060, Hubei, China;
6. Department of Neurosurgery, Wuhan Fourth Hospital, Wuhan 430033, Hubei, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the current status of grief counseling of clinicians from five coronavirus disease 2019 (COVID-19) designated hospitals in Wuhan and to provide reference for hospital management. Methods A total of 223 clinicians from designated hospitals were investigated with a basic information questionnaire and attitudes and skills of grief counseling scales. Results A total of 208 valid questionnaires were collected, with an effective rate of 93.3%. The score of grief counseling skills of clinicians from COVID-19 designated hospitals was 19.35±4.75, which was in the middle and lower level. Responsibilities and roles, and frequency of contacting bereaved family members had significant effects on the grief counseling skills (P<0.01). While the score of grief counseling attitudes of clinicians was 33.21±9.23, which was in the middle level. Whether they had received relevant training, the communication ability, and other grief counseling skills had significant impacts on their grief counseling attitudes (P<0.01). Conclusion The skills and attitudes of grief counseling of clinicians from COVID-19 designated hospitals in Wuhan still need to be improved. The hospital should set up a grief counseling committee, establish a complete grief guidance system and build a long-term training mechanism. |
| Key words: coronavirus disease 2019 clinicians grief counseling attitude skills |
