晚期癌症患者对死亡地点的选择倾向及影响因素研究
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

全国高等医学教育学会护理教育分会第二轮科学研究项目-青年项目(GJHLQl60009);华中科技大学自主创新研究基金青年教师基金项目(2015QN095)


Preferences for place of death and the predictors among patients with advanced malignant cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 调查晚期癌症患者对死亡地点的选择倾向及影响因素。方法 采用便利抽样的方法选取湖北省2所医院的肿瘤科晚 期癌症患者775例,以肿瘤患者临终护理意愿量表(EndofLifePreferencesInterview,ELPI)调查晚期癌症患者对死亡地点的选 择倾向及其他终末意愿。结果 晚期癌症患者倾向于家里死亡的占79.61%,其他地方占20.39%;医生是否告知终末治疗和护理 问题、家庭收入、教育水平、居住地、性别为患者对死亡地点选择倾向的影响因素(P<0.05,P<0.01)。结论 多数晚期癌症患者 倾向于家中死亡,其他地点分别为医院、养老院等。医护人员应适当与患者沟通其疾病情况,让患者在充分了解自身病情的情况 下,作出自己临终意愿的选择;普及和发展家庭护理是保证家庭临终护理质量的重要途径。

    Abstract:

    Objective To investigate preferences for place of death and the predictors among patients with advanced malignant cancer. Methods A total of 775 patients with advanced malignant cancer were selected by convenience sampling from oncology departments from two hospitals in Hubei province.The revised End of Life Preferences Interview (ELPI) was used to investigate patients′ pre-ferences for places of death and other end-of-life wishes. Results As high as 79.61% of the patients wished to die at home, and 20.39% opted for other places. Factors influencing the preferences of death place were as follows: whether being informed of terminal treatment and nursing problems or not by the doctors, family income, educational attaiment, places of residence, and genders (P<0.05,P<0.01). Conclusion A majority of cancer patients wished to die at home, and some opted for other places,as in hospitals, nur-sing homes, and so on. Health care workers should communicate with patients about their diseases appropriately, so that patients have a full understanding of their own conditions and make decisions of their own accord.Popularizing and developing home care is an important way to ensure the quality of home-based end-of-life care.

    参考文献
    相似文献
    引证文献
引用本文

廖菁,毛靖,陈凤菊,闻曲,周雯,倪平.晚期癌症患者对死亡地点的选择倾向及影响因素研究[J].护理学杂志,2019,34(15):78-80+94

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2019-03-23
  • 最后修改日期:2019-04-20
  • 录用日期:
  • 在线发布日期: 2022-08-09