中华护理杂志 ›› 2022, Vol. 57 ›› Issue (14): 1683-1689.DOI: 10.3761/j.issn.0254-1769.2022.14.003
收稿日期:
2022-04-15
出版日期:
2022-07-20
发布日期:
2022-07-20
通讯作者:
姜桂春,E-mail: lnzlhulibu@163.com作者简介:
赵丽华:女,本科(硕士在读),护士,E-mail: zhaolihua0601@163.com
基金资助:
ZHAO Lihua(), QU Huan, LI Jiaojiao, HUANG Tingting, JIANG Guichun()
Received:
2022-04-15
Online:
2022-07-20
Published:
2022-07-20
摘要:
目的 调查晚期癌症患者的替代决策者姑息照护决策冲突现状并分析其影响因素。 方法 2020年10月—2021年5月,使用便利抽样法,选取在某三级甲等医院就诊的235名晚期癌症患者的替代决策者作为调查对象。使用一般资料调查表、决策冲突量表、临终关怀认知问卷、一般自我效能感量表进行调查。 结果 晚期癌症患者的替代决策者决策冲突量表得分为(40.19±9.15)分,91.9%的替代决策者选择姑息照护时存在决策冲突,其中高水平决策冲突高达58.7%。决策冲突水平与临终关怀认知、一般自我效能感水平呈负相关(r=-0.505,-0.550,P<0.05)。多元线性回归分析结果显示,替代决策者年龄、职业、照顾临终患者经历、疾病了解程度、临终关怀认知、一般自我效能感是其决策冲突的影响因素。 结论 癌症患者替代决策者姑息照护决策冲突处于中高水平,存在决策延迟、决策后悔等情况;替代决策者高龄、无稳定工作、无医疗知识相关背景、有临终照护经历、对疾病了解较少者决策冲突水平更高;提高临终关怀认知、一般自我效能感水平有助于降低替代决策者决策冲突水平。
赵丽华, 屈欢, 李娇娇, 黄婷婷, 姜桂春. 晚期癌症患者的替代决策者姑息照护决策冲突的调查研究[J]. 中华护理杂志, 2022, 57(14): 1683-1689.
ZHAO Lihua, QU Huan, LI Jiaojiao, HUANG Tingting, JIANG Guichun. Analysis on status and influencing factors of palliative care decisions conflict among substitutive decision-makers of advanced cancer patients[J]. Chinese Journal of Nursing, 2022, 57(14): 1683-1689.
表2 不同特征患者对替代决策者决策冲突得分的影响 (n=235)
Table 2 Comparison of decision conflict scores of alternative decision makers in patients with different characteristics(n=235)
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