医院内癌症患者死亡观调查  

Survey of cancer patients' view of death

作　　者：饶洁[1] 付强[1] 吴前胜[1] 于世英[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院肿瘤中心,武汉430030

出　　处：《临床肿瘤学杂志》2015年第2期150-154,共5页Chinese Clinical Oncology

摘　　要：目的调查医院内癌症患者的死亡观及其影响因素。方法采用自行设计的调查问卷对癌症患者进行调查。结果发放问卷100份,回收有效问卷99份,其中介意谈论死亡相关问题的患者占27.27%。患者是否介意谈论死亡问题与其文化程度(P=0.005)、居住环境(P=0.009)、接触垂危或濒死情况(P=0.001)、接触死亡情况(P=0.003)、是否有目睹家庭成员在临终期的经历(P=0.042)及参加葬礼时的感觉(P=0.001)等有关。不介意谈论死亡的患者中,超过半数认为死亡应顺其自然;选择对临终者"尽可能抢救"和"依病情而定"的比例相近(44.44%vs.50.00%);面对死亡最关心的问题是"对家庭的责任未完"(63.89%)和"亲友会哀伤"(11.11%);2/3的患者偏好死亡地点在家中,仅有18.06%的患者选择在医院。结论实施姑息治疗和临终关怀,并提高癌症患者的生活质量具有重要意义。Objective To investigate the cancer patients＇ view of death and its related factors.Methods A questionnairesurvey was designed by ourselves and conducted on cancer patients.Results One hundred questionnaires were sent out, receiving 99 efficient questionnaires. The patients who minded talking about death related issues were 27. 27%. Whether patients minded talking a-bout death was related with their education degree（P= 0. 005）, dwelling environment（P= 0. 009）, the contact with critically ill or dy-ing patients（P= 0. 001）, the contact with deaths（P= 0. 003）, whether witnessed relatives at the end of life（P= 0. 042）, and the feelof attending funeral（P= 0. 001）. In the patients who didn.t mind talking about death, more than half of them thought that death shouldlet nature take its course; for dying person the patients who chose should ＂rescue as far as possible＂ and ＂depend on the state of ill-ness＂ were similar in the proportions（44. 44%vs.50. 00%）; the most concerns when majority of patients met death were ＂unfinishedfamily responsibilities＂（63. 89%） and ＂friends and relatives will be sad＂（11. 11%）; for place of death, two-thirds of the patientschose at home, only 18. 06% chose in hospital.Conclusion It will be great importance of implementing palliative and hospice care,as well as enhancing cancer patients＇ quality of life.

关 键 词：癌症 死亡观 姑息治疗 临终关怀 

分 类 号：R730[医药卫生—肿瘤]