Table 1_Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study.doc

BackgroundThe demand for quality hospice care rises in China as the population ages. Specialized gerontological advanced practice nurses (GAPNs) are vital to the Chinese healthcare system, yet their knowledge, attitudes, and practices (KAP) regarding hospice care in China remain poorly understood.
ObjectivesTo explore the KAP toward hospice care in specialized GAPNs and the factors influencing KAP.
MethodsThis cross-sectional study was conducted from May 6, 2023, to July 30, 2023, in GAPNs working in Chongqing and Hebei. This study used a previously developed scale on the KAP toward hospice care. Descriptive analysis, univariable and multivariable regression analyses, and correlation analyses were used.
ResultsA total of 300 valid questionnaires were collected. The median knowledge score was 7. The median attitude score was 82. The proportion of participants with hospice care experience was 15.7%. The median confidence in practice score was 38. The median actual practice score was 40. High school/vocational school education and unwillingness to participate in hospice care were negatively associated with knowledge. Unwillingness to participate in hospice care and knowledge scores were positively associated with attitudes. Age 41–50 and attitude scores were positively associated with confidence in practice, while never provided hospice care and Hebei province were negatively associated.
ConclusionGAPNs in Chongqing and Hebei show moderate KAP toward hospice care, with Chongqing performing better. The regional differences found suggest the need for region-specific education and policy interventions.

背景 随着中国人口老龄化进程加快，高质量临终关怀（hospice care）的需求持续攀升。专科老年护理高级实践护士（GAPNs）是我国医疗体系的关键组成部分，但目前学界对这类护士关于临终关怀的知识、态度与实践（KAP）现状仍缺乏充分了解。
研究目的 本研究旨在探讨专科老年护理高级实践护士（GAPNs）对临终关怀的知识、态度与实践（KAP）现状及其影响因素。
研究方法 本研究为横断面研究，于2023年5月6日至2023年7月30日期间，面向重庆与河北两地的专科老年护理高级实践护士（GAPNs）开展。研究采用已预先开发的临终关怀知识、态度与实践量表进行数据采集，分析方法涵盖描述性统计、单因素与多因素回归分析以及相关性分析。
研究结果 本研究共回收有效问卷300份。知识得分中位数为7分，态度得分中位数为82分，拥有临终关怀实践经历的参与者占比为15.7%，实践信心得分中位数为38分，实际实践得分中位数为40分。分析结果显示：高中/职业中专学历与不愿参与临终关怀工作对知识得分呈负相关；不愿参与临终关怀工作与知识得分则对态度得分呈正相关。年龄处于41~50岁区间与态度得分对实践信心得分呈正相关，而无临终关怀实践经历与来自河北省则对实践信心得分呈负相关。
研究结论 重庆与河北两地的专科老年护理高级实践护士（GAPNs）对临终关怀的知识、态度与实践水平处于中等区间，且重庆地区表现更优。本研究发现的地区差异提示，亟需针对不同地区制定差异化的教育与政策干预措施。