家属对Ⅳ期肺癌住院患者临终抢救决策的差异分析  

Family members' decision on terminal-stage resuscitation of stage Ⅳ lung cancer patients in hospital:An analytical study

作　　者：高飞[1,2] 阮骊韬[1] 宁洁娟 靳刚[2] 阳甜[1] 任徽[1] 张硕[1] 陈天君[1] 

机构地区：[1]西安交通大学第一附属医院,陕西西安710061 [2]西安市华山中心医院,陕西西安710043

出　　处：《现代肿瘤医学》2017年第4期556-558,共3页Journal of Modern Oncology

基　　金：陕西省国际科技合作与交流计划(编号:2015KW-038)

摘　　要：目的:研究患者家属对Ⅳ期肺癌住院患者临终抢救决策的差异。方法:观察56例Ⅳ期肺癌住院患者的临终抢救治疗情况。分析不同性别、年龄、确诊到临终抢救的病程、宗教信仰、亲属病故经历等特征的患者,其家属选择抢救方式的差异,同时总结抢救结束后医患矛盾发生情况。结果:放弃抢救措施或进行无创抢救33例(占58.9%),积极进行全部有创措施抢救的23例(占41.1%)。家属抢救治疗决策有显著性差异。抢救治疗结束后患者家属均有悲伤情绪,但没有医患矛盾发生。结论:多数患者家属能理性决策Ⅳ期肺癌患者临终抢救治疗方式。Objective： To investigate the difference in family members＇ decision on terminal resuscitation of stageⅣ lung cancer in patients of stage Ⅳ. Methods： We observed the terminal resuscitation of 56 patients with stage Ⅳlung cancer in hospital,and analyzed the disparity in family members＇ decision of resuscitation method with respect to difference in gender,age,course of the disease,experience of relative death and religious beliefs. We also analyzed the contradiction between doctors and patients after resuscitation. Results： We found that 33（ 58. 9 %） discarded both invasive and non- invasive resuscitation or only discarded invasive resuscitation,while 23（ 41. 1 %） allowed both invasive and non- invasive resuscitation in patients. After resuscitation all the family members were very sad,but there was no contradiction between doctors and patient relatives. Conclusion： Most of the family members can take reasonable decision on terminal resuscitation for stage Ⅳ lung cancer patients.

关 键 词：肺癌 临终抢救 决策 

分 类 号：R734.2[医药卫生—肿瘤]