目的 调查实习护生死亡素养现况并分析其相关因素，为制订针对性干预策略提供实证依据。方法 采用便利抽样法，于2025年3-4月选取湖北省和湖南省2所三级甲等医院的1006名实习护生为研究对象，使用一般资料调查表、死亡素养指数量表和死亡态度描绘量表对其进行调查。结果 实习护生死亡素养总分为（6.53±1.74）分，死亡素养总分与死亡态度中自然接受呈正相关（r=0.255，P＜0.001），与死亡恐惧（r=-0.100）、逃离接受（r=-0.120）呈负相关（均P＜0.05）。多元线性回归分析显示，实习期参与过临终患者护理、实习期经历过患者死亡、参加过死亡教育、未明确排斥从事安宁疗护工作、死亡态度为自然接受，均为死亡素养的正向相关因素（均P＜0.05）。结论 护理教育应整合死亡教育课程，强化临终护理实践，并引导树立积极的死亡态度，从而系统提升实习护生的死亡素养。

Objective To investigate the status quo of death literacy among nursing interns and analyze its related factors,so as to provide empirical evidence for formulating targeted intervention strategies.Methods By the convenience sampling method,1006 nursing interns from 2 tertiary A hospitals in Hubei and Hunan Provinces were selected from March to April 2025.A general information questionnaire,the death literacy index scale,and the death attitude profile scale were used for the investigation.Results The total score of death literacy for the nursing interns was (6.53±1.74) points, which was positively correlated with the natural acceptance in death attitude (r= 0.255,P＜ 0.001), and negatively correlated with death fear (r=-0.100) and escape acceptance (r=-0.120) (all P＜0.05).Multiple linear regression analysis showed that participation in end-of-life care for dying patients during the internship,experience of patient death during the internship,participation in death education,no explicit rejection of working in hospice care,and a natural acceptance attitude towards death were all positive correlated with death literacy (all P＜0.05).Conclusions Nursing education should integrate death education courses,strengthen end-of-life care practice,and guide nursing interns to establish a positive attitude towards death,so as to systematically improve their death literacy.

R47

湖南省重点研发计划项目（2020SK2121）；湖南省肿瘤医院科研攀登计划重点研发基金项目（YF2020010）