辽宁省安宁疗护护士对死亡教育的认知现状与职业认同感的相关分析

Current Status of Death Education Cognition and Its Correlation with Professional Identity among Hospice Nurses in Liaoning Province

摘要: 目的：明确辽宁省安宁疗护护士死亡教育认知与职业认同感的现状，分析二者相关性及职业认同感的影响因素。方法：2025年12月至2026年1月，采用便利抽样法，选取辽宁省五家三级甲等医院240名安宁疗护护士为研究对象，通过一般资料问卷、修订版死亡教育认知量表、护士职业认同感量表进行调查，运用统计学方法进行描述性分析、单因素分析、相关性分析及多元线性回归分析。结果：护士死亡教育认知总分(86.12 ± 14.41)分(中等偏上)，职业认同感(74.90 ± 12.52)分(中等)；人口学、职业特征对两项指标无显著影响；死亡教育认知各维度与职业认同感呈强正相关；死亡认知、临终沟通技巧、死亡教育重要性认知为职业认同感正向独立影响因素。结论：应常态化开展死亡认知、临终沟通专项培训，提升护士职业认同感，稳定安宁疗护护理队伍。

Abstract: Objective: To clarify the current status of death education cognition and professional identity among hospice nurses in Liaoning Province, and analyze their correlation as well as the influencing factors of professional identity. Methods: From December 2025 to January 2026, a total of 240 hospice nurses from five tertiary Class A hospitals in Liaoning Province were selected by convenience sampling. Questionnaires including general information scale, revised Death Education Cognition Scale and Nurse Professional Identity Scale were adopted for investigation. Descriptive analysis, univariate analysis, correlation analysis and multiple linear regression analysis were used for statistical processing. Results: The total score of nurses’ cognition of death education was (86.12 ± 14.41), at a moderately above-average level; the total score of professional identity was (74.90 ± 12.52), at a medium level. Demographic and occupational characteristics had no significant effects on the two indicators. All dimensions of death education cognition were significantly and positively correlated with professional identity. Death cognition, end-of-life communication skills and cognition of the importance of death education were independent positive influencing factors of professional identity. Conclusions: Special training on death cognition and end-of-life communication should be carried out regularly to improve nurses’ professional identity and stabilize the nursing team engaged in hospice care.