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Attitudes toward palliative care among cancer patients: a multi-method study
Meiying Zhang1, Yuxia Zhao2, Yifu Lu3
1Department of Outpatient, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China.
Cancer patient attitudes toward palliative care are often low, influenced by factors like education and cancer stage. Improving knowledge and education is key to enhancing palliative care acceptance and practice.
Area of Science:
- Oncology
- Palliative Medicine
- Health Services Research
Background:
- Palliative care is vital for advanced cancer patients' quality of life.
- Patient attitudes towards palliative care are diverse, influenced by culture, values, and awareness.
- Limited research exists on cancer patients' palliative care attitudes in China.
Purpose of the Study:
- To assess cancer patients' palliative care attitudes in China.
- To identify distinct subgroups of attitudes and their influencing factors.
- To understand patients' perceptions of palliative care.
Main Methods:
- A multi-method study involving 541 cancer patients.
- Latent profile analysis (LPA) to identify attitude subgroups.
- Content analysis of open-ended responses on palliative care perceptions.
Main Results:
- Low overall palliative care attitudes were observed.
- Four distinct subgroups of attitudes and three themes of perception were identified.
- Education, occupation, caregiver, insurance, cancer stage, anxiety, and knowledge significantly influenced subgroups.
Conclusions:
- A majority of cancer patients exhibit poor attitudes towards palliative care.
- Key factors and perceptions influencing these attitudes were confirmed.
- Disseminating palliative care knowledge and education is crucial for improving acceptance and practice.
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