青海地区恶性肿瘤患者安宁疗护知识、态度现状及影响因素研究  

Research on the status and influencing factor of knowledge and attitude of palliative care in patients with malignant tumor in Qinghai province

作　　者：罗明琴[1] 潘世琴[1] 张霞[2] 杨敏[3] 任蕾 潘艳波[4] 孔玲娟[3] LUO Mingqin;PAN Shiqin;ZHANG Xia;YANG Min;REN Lei;PAN Yanbo;KONG Lingjuan(Nursing Department,Qinghai Provincial People’s Hospital,Xi'ning 810000,China;Department of Interventional Radiography,Qinghai Provincial People’s Hospital,Xi'ning 810000,China;Department of Internal Medicine-Oncology,Qinghai Provincial People’s Hospital,Xi'ning 810000,China;Department of Tumor Surgery,Qinghai Provincial People’s Hospital,Xi'ning 810000,China)

机构地区：[1]青海省人民医院护理部,西宁市810000 [2]青海省人民医院介入放射科,西宁市810000 [3]青海省人民医院肿瘤内科,西宁市810000 [4]青海省人民医院肿瘤外科,西宁市810000

出　　处：《护理管理杂志》2021年第8期561-565,577,共6页Journal of Nursing Administration

基　　金：青海省卫生健康委员会指导计划性课题(2018-wjzdz-02)。

摘　　要：目的调查青海地区的恶性肿瘤患者安宁疗护知识、态度的现状并分析其主要影响因素。方法采用单纯随机抽样法,选取2020年3月至10月青海省某三级甲等医院366例住院治疗的恶性肿瘤患者作为研究对象,采用一般资料问卷、恶性肿瘤患者安宁疗护知识问卷、临终关怀态度问卷进行调查。结果恶性肿瘤患者安宁疗护知识、临终关怀态度总均分分别为0.00(2.00~7.00)分、70.00(64.00~75.00)分,患者安宁疗护知识与临终关怀态度呈负相关(r=-0.245),患者的文化程度、肿瘤部位、对安宁疗护了解程度、接受程度及了解途径是影响安宁疗护知识水平的主要因素(P<0.01或P<0.05)。结论恶性肿瘤患者安宁疗护知识处于较差水平,临终关怀态度处于中等水平,提高患者对安宁疗护的了解程度及接受程度可以提升患者的安宁疗护知识水平,对于文化水平较低、消化系统恶性肿瘤患者应该重点关注。Objective To explore the current situation and influencing factors of knowledge and attitude of palliative care for patients with malignant tumor in Qinghai province.Methods A total of 366 patients with malignant tumor participated in the survey.The tumor patients in a 3A-level hospital in Qinghai Province were enrolled from March to October in 2020,and investigated by the general information scale and the questionnaire of knowledge in hospice care and attitude in palliative care.Results The median score of knowledge and attitude of palliative care of patients with malignant tumor were 0.00(2.00,7.00)and 70.00(64.00~75.00),the knowledge of palliative care was negative correlated with attitude(r=-0.245).The main factors affecting the knowledge of palliative care in patients with malignant tumor were education background,tumor site,the understanding of palliative care,the acceptance and the way of understanding(P<0.01 or P<0.05).Conclusion The knowledge level of palliative care for patients with malignant tumor is at a poor level.The attitude of palliative care for patients with malignant tumor is at a moderate level.Improving the understanding and acceptance of palliative care can improve the knowledge level of patients with palliative care.The focus should be paid to patients with malignant tumor living in digestive malignant tumor patients and with low educational level.

关 键 词：恶性肿瘤 临终关怀 安宁疗护 知识 态度 

分 类 号：R48[医药卫生—临床医学] R473.73