妇科恶性肿瘤患者善终期望水平的影响因素分析  

Influencing factors of the expectation level of the patients with gynecological cancer

作　　者：王玉娥 沙蕊[2] Wang Yu'e;Sha Rui(Ward I,Department of Respiratory and Critical Care,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Oncology Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院呼吸与危重症医学科一病房,100730 [2]中国医学科学院北京协和医院肿瘤内科,100730

出　　处：《中华现代护理杂志》2019年第31期4093-4097,共5页Chinese Journal of Modern Nursing

摘　　要：目的 调查分析妇科恶性肿瘤患者病情进展知晓度和善终期望水平现状,并分析患者善终期望水平的影响因素.方法 选取中国医学科学院北京协和医院2018年1月-2019年1月收治的妇科恶性肿瘤患者进行问卷调查,调查工具包括一般资料、病情进展知晓度情况以及中文版优逝期望量表.本次研究共发放调查问卷200份,收回有效问卷197份.结果 197例妇科恶性肿瘤患者善终期望量表总分为(243.39±32.89)分,对自身病情完全知晓的患者仅占31.98%(63/197),部分知晓者41.12%(81/197),完全不知晓者26.90%(53/197).单因素分析结果显示,不同婚姻状况、宗教信仰、有无丧亲经历、是否有其他照顾者以及病情知晓程度妇科恶性肿瘤患者中文版优逝期望量表得分,差异均有统计学意义(P<0.05);多重线性回归分析显示,有无丧亲经历、是否有其他照顾者以及病情知晓程度是妇科恶性肿瘤患者善终期望水平的影响因素(P<0.01).结论 妇科恶性肿瘤患者有无丧亲经历、是否有其他照顾者以及病情知晓程度是妇科恶性肿瘤患者善终期望水平的影响因素,提示医护人员和家属应重视有丧亲经历、无其他照顾者以及病情知晓程度低患者的护理,为其提供更好的临终关怀.Objective To investigate and analyze the status quo of awareness of disease progress and expectation level of good death among patients with gynecological cancer, and analyze the influencing factors of expectation level of patients with gynecological cancer. Methods From January 2018 to January 2019, a questionnaire survey was conducted among the gynecological cancer patients admitted to Peking Union Medical College Hospital of Chinese Academy of Medical Sciences. The survey tools included general information, Awareness of Disease Condition and Chinese version of the Good Death Inventory. In this study, 200 questionnaires were sent out and 197 valid questionnaires were collected. Results The total average score of 197 patients with gynecological malignant tumor was (243.39±32.89). Only 31.98% (63/197) patients were fully aware of their own conditions, 41.12% (81/197) were partially aware and 26.90% (53/197) of the patients were fully unaware of their own conditions. The results of univariate analysis showed that there were statistically significant differences in the scores of different marital status, religious belief, bereavement experience, whether there were other caregivers and the scores in Awareness of Disease Condition and Chinese version of the Good Death Inventory among the patients with gynecological malignant tumor (P< 0.05). Multiple linear regression analysis showed that whether there was bereavement experience, whether there were other caregivers and the degree of awareness of the disease were the influencing factors of the expectation level of gynecological cancer patients (P<0.01). Conclusions Whether there is bereavement experience, whether there are other caregivers and the degree of awareness of the condition of patients with gynecological malignant tumors are the influencing factors of the expectation level of good death among the patients with gynecological malignant tumors. It suggests that medical staff and family members should pay attention to the nursing of patients with bereavement ex

关 键 词：肿瘤 妇科 善终期望水平 病情进展知晓度 

分 类 号：R47[医药卫生—护理学]