肿瘤科医护人员对晚期肿瘤患者实施预先指示的质性研究  

Attitudes of Oncology Medical Staffs on Advance Directives for Advanced Cancer Patients: a Qualitative Study

作　　者：王丽英[1] 胡雁[1] 陆箴琦[1] 顾文英[1] 

机构地区：[1]复旦大学护理学院,上海200032

出　　处：《医学与哲学（B）》2011年第11期1-4,22,共5页Medicine & Philosophy(B)

基　　金：复旦大学研究生创新基金资助;项目编号:EZF400301;复旦大学护理科研基金资助;项目编号:CHF400001

摘　　要：探讨肿瘤科医护人员对晚期肿瘤患者实施预先指示(advance directives,AD)的态度。使用目的抽样法对8位肿瘤科医护人员进行半结构式访谈。结果显示,肿瘤科医护人员对实施AD的态度可归纳为:(1)认可并有需求;(2)具体实施仍有一定困难;(3)可尝试应用但需一定对策。因此,肿瘤科医护人员总体非常支持AD的实施,但具体应用还需一定时期的本土化过程。The research was to explore the attitudes of oncology medical staffs on advance directives （AD） for advanced cancer patients. 8 oncology medical staffs selected by purposive sampling participated in the semi--structure interviews. Three themes were extracted from the attitudes of oncology medical staffs towards AD： accepting and demanding it; being difficult to carry it out; being possible to try it out with some countermeasures. Although there are still some difficulties, oncology medical staffs support AD in general. And the implementation of AD in mainland of China needs a long time of localization.

关 键 词：预先指示 生前预嘱 姑息照护 质性研究 

分 类 号：R730.1[医药卫生—肿瘤]