关于预嘱尊严死的认知和接受度调查——以ICU终末期患者家属为例  

Investigation on cognition and acceptability of living will and dignity death—— Take ICU terminally ill patients' relatives as example

作　　者：刘洁明[1] 何丽君[1] 徐思思 卢智贤 陈君[2] LIU Jie-ming;HE Li-jun;XU Si-si;LU Zhi-xian;CHEN Jun(The Third Clinical Medicine School,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;Faculty of Arts and Social Science,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]广州中医药大学第三临床医学院,广州广东510405 [2]广州中医药大学人文社科学院,广州广东510006

出　　处：《卫生软科学》2018年第11期67-70,共4页Soft Science of Health

基　　金：2016年省级大学生创新创业训练计划资助项目(201610572073)

摘　　要：[目的]了解重症监护室(Intensive Care Unit,ICU)终末期患者家属对预嘱尊严死的认知与接受度,为生前预嘱推广提供理论参考。[方法]对100例广州中医药大学第三附属医院和广东省第二中医院的ICU终末期患者家属进行调研,探讨他们对生前预嘱的认知接受度及其影响因素,采用描述性统计分析、χ2检验等方法分析数据。[结果] 48例填写问卷之前"从未听说过生前预嘱";对不了解生前预嘱的患者家属给予解释后,53例家属表示理解并愿意填写帮助安排临终时是否使用生命支持系统的文件。家庭年收入、认为临终时使用生命支持系统对延长存活时间有无意义是家属对预嘱尊严死的接受度(P<0. 05)的影响因素,性别、受教育程度、职业、是否目睹过患者临终前的情况对预嘱尊严死的认知和接受度影响不显著(P>0. 05)。[结论] ICU终末期患者家属对预嘱尊严死的认知和接受度处于较低的水平,推广生前预嘱仍需更多努力。Objective To know the cognition and acceptability of living will and dignity death among ICU terminally ill patients relatives so as to provide a theoretical reference for the expand of living will before death.Methods Investigated and studied 100 cases of ICU terminally ill patients relatives from Third Affiliated Hospital of Guangzhou University of Chinese Medicine and Second Hospital of Traditional Chinese Medicine in Guangdong.Explored their cognition,acceptability and influence factor.We used descriptive statistical analysis and chi square test to analyze the data.Results 48 of them never heard of living will before they filled in the questionnaire.After explained to them,53 of them expressed understanding and willing to sign a document which could help them to decide whether take life-support system.Annual family income could affected their cognition and acceptability of living will and dignity death,as well as the attitude about whether it was worthy to delay their death time by using the life-support system at the end of their life(P<0.05).Sex,education,occupation and whether they had witnessed the patient s pre-dying condition had no significant effect on the investigators choices(P>0.05).Conclusions The cognition and acceptability of living will and dignity death of ICU terminally ill patients relatives were on low level,we should make great efforts to popularize living will.

关 键 词：生前预嘱 尊严死 认知度 接受度 患者家属 

分 类 号：R195.3[医药卫生—卫生统计学]