摘要
研究晚期恶性肿瘤患者对生前预嘱及临终关怀的认知并探讨其影响因素。对笔者所在医院诊治的晚期肿瘤患者进行问卷调查。97.10%的患者不知道生前预嘱概念;69.20%的患者愿意选择生前预嘱,年龄、性别、长期居住地、宗教、婚姻状态、住房类型、肿瘤类型是其影响因素;84.00%愿意接受临终关怀医疗服务,长期居住地、教育程度、宗教、婚姻状态、住房类型、肿瘤类型是其影响因素。由此可见,生前预嘱在晚期肿瘤患者中知晓率很低且受多种因素影响,有必要促进生前预嘱的宣传,让每位晚期肿瘤患者的意愿得到尊重。
This study aims to investigate the cognition of advanced malignant tumor patients towards advance directives and end-of-life care and explore its influencing factors.The patients with advanced tumor in Cancer Hospital of Chinese Academy of Sciences were investigated by questionnaire.The results showed that 97.10% of patients did not know the concept of advance directives.69.20% of the patients were willing to choose advance directives,and age,gender,longterm residence,religion,marital status,housing type and tumor classification were the influencing factors.84.00% of patients were willing to accept hospice care,and long-term residence,education degree,religion,marital status,housing type and tumor classification were the influencing factors.Therefore,the awareness rate of advance directives in patients with advanced cancer was very low,and the advance directives and end-of-life care were affected by many factors.We need to promote the publicity of advance directives so that the will of each patient with advanced cancer will be respected.
作者
王毅欣
王秀敏
焦丽
林琳
程旭
张利伟
WANG Yi-xin;WANG Xiu-min;JIAO Li(Department of Oncology,Hefei Cancer Hospital,Chinese Academy of Sciences,Hefei 230031,China)
出处
《医学与哲学》
2019年第5期30-34,共5页
Medicine and Philosophy
基金
2018年国家自然科学基金项目(Y8BY0H150)
关键词
晚期肿瘤
生前预嘱
临终关怀
advanced tumor
advance directives
end-of-life care
