老年慢性病患者家属对缓和医疗的态度及影响因素分析  

Attitude towards palliative care of family members among elderly chronic diseases patientsand its influencing factors

作　　者：吴满满 师子秋[1] 白珊珊 马澜 马艺方[1] 陈宝玉 Wu Manman;Shi Ziqiu;Bai Shanshan;Ma Lan;Ma Yifang;Chen Baoyu(Medical Ward,Department of Health Care,Peking Union Medical College Hospital,Beijing 100730,China;Surgical Ward,Peking Union Medical College Hospital,Beijing 100730,China;Department of Neurology,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医院保健医疗部内科病房,100730 [2]北京协和医院外科病房,100730 [3]京协和医院神经内科病房,100730

出　　处：《中华现代护理杂志》2019年第3期346-350,共5页Chinese Journal of Modern Nursing

基　　金：第六期中央保健科研课题(W2017BJ20).

摘　　要：目的调查老年慢性病患者家属对缓和医疗的认知和态度,并分析其影响因素。方法2017年10月—2018年4月,采用便利抽样法选取北京协和医院180名老年慢性病患者的家属为调查对象,应用自行设计的缓和医疗认知及态度问卷进行调查,采用单因素分析法分析老年慢性病患者家属对缓和医疗认知和态度的影响因素。结果共回收有效问卷166份。老年慢性病患者家属对缓和医疗表示了解的有85名,占51.2%;对实施缓和医疗表示赞同有133名,占80.1%。支持缓和医疗的原因包括临终时应减轻痛苦、患者有权选择和疾病长期折磨。不同年龄、文化程度、职业、收入、患者年龄的家属对缓和医疗的认知和态度差异有统计学意义(P<0.05)。结论老年慢性病患者的家属对缓和医疗的认识欠缺,而赞同率较高,学历越高、患者年龄越高的家属更赞同缓和医疗。Objective To explore the cognition and attitude towards palliative care of family members among elderly chronic diseases patients and to analyze its influencing factors. Methods From October 2017 to April 2018, we selected 180 family members of elderly chronic diseases patients at Peking Union Medical College Hospital as subjects by convenience sampling. All of them were investigated with the self-designed cognition and attitude towards palliative care questionnaire. The simple correlation was used to analyze the influencing factors of cognition and attitude towards palliative care of family members among elderly chronic diseases patients. Results A total of 166 valid questionnaires were collected. There were 85 (51.2%) family members of elderly chronic diseases patients understanding palliative care, 133 (80.1%) of them agreeing with implementing palliative care. The reasons of supporting palliative care included that relieving the pain on the deathbed, patients had the right to choose, long-term torment of disease. There were statistical differences in the cognition and attitude towards palliative care among family members with different ages, education levels, occupations, incomes and patients' ages. Conclusions Family members of elderly chronic diseases patients have insufficient understanding of palliative care with a high approval rate. The higher the approval rates, education levels and ages of family members are, they agree more with palliative care.

关 键 词：老年人 慢性病 家属 缓和医疗 

分 类 号：R47[医药卫生—护理学]