To investigate the knowledge, attitudes, and clinical practices of healthcare workers in the palliative care pilot area of Neijiang, Sichuan, regarding the concepts, functions, and goals of palliative care, and to provide evidence for developing a primary palliative care service model.
Seventy-two healthcare workers from six medical institutions in Neijiang’s pilot area were surveyed using a self-designed questionnaire validated by experts. The survey covered demographic characteristics, knowledge, attitudes, and clinical practices. Data were analyzed using SPSS 16.0 with descriptive statistics.
Participants were predominantly female (79.17%), with college degrees (54.17%) and junior titles (54.17%). Knowledge: 81.94% confused palliative care with hospice care, and only 4.17% recognized its focus on symptom control and social care; over 60% misunderstood service functions, with low awareness of morphine use (23.61% correct) and pain assessment (31.94% correct). Attitudes: 70% acknowledged the value of palliative care, with 44% citing stress from end-of-life care. Practices: Pain management (40.79%), patient/family communication (41.67%), institutional referrals (40.28% occasional), and death education (38.89% occasional) were inadequately performed.
Healthcare workers in Neijiang’s pilot area lack clear understanding and professional skills in palliative care, showing deficiencies in knowledge, implementation, and service delivery. Misconceptions and skill gaps hinder service development, necessitating enhanced training and model optimization.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |