在晚期非小细胞肺癌中与死亡素养相关的患者特征:初步单中心横截面研究
Gong-Fu Lin1, Yi-Ling Yeh2, Shiow-Ching Shun3
1Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Palliative care and social practice
|January 9, 2026
概括
患有晚期非小细胞肺癌 (NSCLC) 的患者有中等的死亡素养. 之前的生命终端 (EOL) 护理经验,医生讨论,以及女性与更高的死亡素养有显著的相关性,改善了EOL护理质量.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 卫生识字 卫生识字
背景情况:
- 晚期非小细胞肺癌 (NSCLC) 患者经常面临严重的症状和功能衰退.
- 早期生命终端 (EOL) 护理讨论对于改善高级NSCLC的护理质量至关重要.
- 患者的死亡素养可能会提高EOL护理讨论的有效性.
研究的目的:
- 为了探索先进的NSCLC患者的基线死亡识字水平.
- 在这个人群中检查与死亡素养相关的患者特征.
主要方法:
- 一项涉及103名晚期NSCLC患者 (IIIB+阶段) 的横截面研究.
- 通过社会人口统计,病史,EOL护理经验和死亡素养 (死亡素养指数) 问卷收集的数据.
- 统计分析包括描述性统计,相关性,t测试和逐步回归.
主要成果:
- 总体而言,死亡素养是中等的 (平均得分为94.08±16.45).
- 较高的死亡素养与之前的EOL护理经验有显著的关联 (β = 13.390,p < 0.001).
- 与医生讨论EOL护理 (β = 10.901,p < 0.001) 和女性 (β = 8.671,p = 0.001) 也与较高的死亡素养相关.
- 这些因素解释了37.1%的死亡素养差异.
结论:
- 医疗保健提供者应该利用患者的实践经验来促进EOL护理讨论.
- 旨在刺激反思和对话的干预措施,如生命之旅茶馆或公共卫生策略,可以提高死亡素养和EOL护理计划.
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