影响女性癌症患者对提前指示态度的因素
1Department of Nursing, Seoul Soonchunhyang University Hospital, Seoul, Korea.
Journal of hospice and palliative care
|September 27, 2023
概括
女性癌症患者对预先指示 (ADs) 和有尊严的死亡表现出积极的态度,但很少有人完成它们. 影响AD态度的因素包括对尊严死亡的看法和治疗讨论.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 生物伦理学生物伦理学
背景情况:
- 预先指示 (ADs) 对于患者在终身护理中的自主性至关重要.
- 了解患者对AD的态度对于有效实施至关重要.
- 癌症患者,尤其是女性,可能对阿尔茨海默病和死亡有独特的观点.
研究的目的:
- 为了确定女性癌症患者对预先指示 (ADs) 的态度.
- 确定影响这些对ADS态度的因素.
- 探索患者对讨论ADs的偏好.
主要方法:
- 在一所大学医院对153名女性癌症患者 (妇科或乳腺癌) 进行了横截面研究.
- 通过调查问卷收集的数据评估了人口统计,疾病/AD特征,知识和态度.
- 统计分析包括t测试,ANOVA和多重回归.
主要成果:
- 只有2%的参与者完成了ADs,尽管平均积极态度得分为3.30.
- 与积极的AD态度相关的关键因素包括对尊严死亡的积极看法,之前的维持生命治疗讨论,以及打算创造AD的意图.
- 东部合作组织瘤组绩效状况是一个显著的负面预测因素;鉴定出来的因素解释了AD态度差异的38.5%.
结论:
- 女性癌症患者通常对AD和有尊严的死亡持积极态度.
- 患者更喜欢在活跃,精神健康,有决策能力的情况下讨论AD.
- 建议在住院或门诊治疗期间对AD进行主动教育,以促进完成和讨论.
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