老年急性髓系白血病患者预立医疗照护计划接受程度与影响因素分析  

Acceptance and influencing factors of advanced care planning in elderly patients with acute myeloid leukemia

作　　者：丁玉菊[1] 张丽[1] 陈晓燕[1] 钱思轩[1] 洪鸣[1] DING Yuju;ZHANG Li;CHEN Xiaoyan;QIAN Sixuan;HONG Ming(Department of Hematology,The First Affiliated Hospital with Nanjing Medical University,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院血液科,江苏南京210029

出　　处：《中国临床研究》2023年第5期778-781,788,共5页Chinese Journal of Clinical Research

基　　金：国家自然科学基金(81870119)。

摘　　要：目的研究老年白血病患者对预立医疗照护计划(ACP)的接受程度并分析其影响因素,为ACP在老年患者中的实施提供参考。方法采用便利抽样法,选取2019年1月至2021年12月在南京医科大学第一附属医院接受化疗的217例老年急性髓系白血病患者作为研究对象,采用自制基本情况调查表、ACP调查问卷、自制急性髓系白血病调查问卷、中国版艾森克人格问卷简式量表等对研究对象进行调查,并分析ACP的影响因素。结果217例老年急性髓系白血病患者的ACP接受度得分为(69.31±9.97)分,各条目均分为(3.65±0.52)分。多重线性回归分析结果显示,受教育程度、居住地、婚姻、化疗次数、丧亲经历、对疾病的了解程度、人格特质是老年急性髓系白血病患者ACP接受程度的影响因素(P<0.05)。结论南京地区老年急性髓系白血病患者ACP接受程度处于较高水平,受到多种因素的影响,相关部门应采取措施提高老年患者对ACP的接受度。Objective To study the acceptance of advanced care planning(ACP)and its influencing factors in elderly leukemia patients,to provide reference for the implementation and promotion of ACP in elderly patients.Methods Using convenient sampling method,217 elderly patients with acute myeloid leukemia who received chemotherapy in the First Affiliated Hospital with Nanjing Medical University from January 2019 to December 2021 were selected as the research objects.The subjects were investigated with self-made basic information questionnaire,ACP questionnaire,self-made acute myeloid leukemia questionnaire,Chinese version Eysenck Personality Questionnaire short form scale,etc.The influencing factors of ACP was anayzed.Results The ACP acceptance score of 217 elderly patients with acute myeloid leukemia was(69.31±9.97),and the average score of each item was(3.65±0.52).Multiple linear regression results showed that education level,place of residence,marriage,number of chemotherapy,bereavement experience,understanding of disease,personality traits are the factors that affect the acceptance of ACP in elderly patients with acute myeloid leukemia(P<0.05).Conclusion The acceptance of ACP in elderly patients with acute myeloid leukemia in Nanjing is at a high level,which is affected by many factors.Relevant departments should take measures to improve the acceptance of ACP in elderly patients.

关 键 词：急性髓系白血病 老年 预立医疗照护计划 接受程度 

分 类 号：R473.73[医药卫生—护理学]