摘要
目的调查粤北地区某三级甲等医院医护人员、恶性肿瘤患者及家属对实施预立医疗照护计划的态度及影响因素。方法采用自行设计的问卷,调查本院210名医护人员、105名恶性肿瘤患者家属及103例恶性肿瘤患者对预立医疗照护计划的态度及影响因素。结果医护人员、家属及患者对预立医疗照护计划的认知率分别为16.7%、9.5%及6.8%;赞同实施率分别为85.7%、51.4%及88.3%。不同文化程度、宗教信仰、住院经历及丧亲原因的家属对预立医疗照护计划的态度差异有统计学意义(P<0.05)。医护人员、家属及患者支持实施预立医疗照护计划原因不一,其中选择较多原因为疾病长期折磨、临终时应减轻痛苦等;不支持实施预立医疗照护计划的原因医护人员选择较多为没有法律支持、应救死扶伤,家属选择较多为伦理道德问题,患者选择较多为有事未了。结论不同地区医护人员、患者及家属对预立医疗照护计划认知程度可能不同,医护人员及患者对实施预立医疗照护计划态度较家属更认可和支持,多因素影响实施预立医疗照护计划态度,实施时需综合考虑社会道德观念及法律等问题。
Objective To analyze the attitude of medical staff, patients and their families toward advance directives（AD） and its influence factors. Methods A total of 210 medical staff, 105 patients＇ families and 103 patients with malignant tumor were investigated with self-designed questionnaires about attitude toward AD and factors associated with the preference of AD.Results The ratio of AD cognition was 16.7%, 9.5% and 6.8% in medical staff, families and patients, respectively and that of implementation agreement was 85.7%, 51.4% and 88.3% respectively. The attitude toward implementation of AD was statistically significant in families with different educational background, religion and bereavement experience（P 0.05）. The reasons of implementation agreement from medical staff, patients and their families included patients＇ choice and no therapeutic significance,ect and that of disagreement no legal support and morality, ect. Conclusion The cognition on AD is different among medical staff,patients and their families from different regions and the attitude of medical staff and patients toward implementation is more positive than that of patients＇ families. Since many factors affect the attitude toward implementation of AD, it is necessary to take social morality, ethics and law into consideration when implementing AD.
出处
《护理学报》
2014年第16期21-24,共4页
Journal of Nursing（China）
基金
2013年度韶关市医学科研基金立项科题(Y13024)
