中晚期肺癌患者家属对患者病情告知情况调查  

Investigation of family members of patients with middle and advanced lung cancer to inform patients of their condition

作　　者：崔悦 CUI Yue(The first Ward of Thoracic Radiotherapy,Shandong Cancer Hospital,Jinan,Shandong 250000,China)

机构地区：[1]山东省肿瘤医院胸部放疗一病区,山东济南250000

出　　处：《现代医药卫生》2023年第11期1883-1888,共6页Journal of Modern Medicine & Health

摘　　要：目的探讨肺癌中晚期患者家属对患者治疗方案注意事项完全告知的影响因素并进行分析,以期为医护人员正确处理癌症诊断告知问题提供指导。方法根据相关文献自行制作调查问卷。结果夫妻(78.1%)比子女(41.8%)及父母(50.0%)多;教育类(80.0%)与医学类(100.0%)比其他人群多;多次住院(65.4%)比首次(45.5%)和二次住院(36.4%)多;家属认为患者有知道病情的权利(100.0%);朋友多、喜欢倾诉的人更倾向将医生交代的治疗方案注意事项完全告知患者。如果患者不知道自己的病情,70.0%的家属选择不告知,家属很难与患者进行有效沟通,这时家属发生焦虑抑郁的概率是完全知道病情患者家属的1.5倍。生活中周围有得过相似疾病的,其现存情况也是患者家属是否选择告知的重要影响因素。家属对疾病信息获取情况满意度的下降和认为所患疾病越来越严重,家属选择告知的比例也在明显下降。结论在日常工作中向患者及家属做好疾病相关知识宣教,帮助他们正确认识疾病,了解治疗方法、护理手段,提高患者家属对疾病信息获取满意情况,能有效提高家属将医生交代的治疗方案注意事项完全告知患者的概率。Objective To explore and analyze the influencing factors of family members of patients with middle and advanced lung cancer to fully inform the attention of patients′treatment plan,in order to provide guidance for medical staff to correctly deal with the problem of cancer diagnosis notification.Methods Self-made questionnaire was made according to relevant literature.Results Couples(78.1%)compared with children(41.8%)and parents(50.0%);education group(80.0%)and medicine group(100.0%)compared with other groups;multiple hospitalization(65.4%)compared with first(45.5%)and second hospitalization(36.4%);family members believe that the patient had the right to know his condition(100.0%);people who had more friends and liked to talk were more likely to fully inform patients of the treatment plan precautions given by the doctor.If the patient did not know his or her diseases,70.0%of the family members chose not to inform the patient,and it was difficult for the family members to communicate effectively with the patient.In this case,the probability of the family members suffering from anxiety and depression was 1.5 times than that of the family members of the patient fully aware of the diseases.The existing conditions of those who had similar diseases in their lives were also important factors influencing whether the family members of patients chose to inform them.The decrease of family members′satisfaction in obtaining disease information and their belief that the disease was more and more serious also significantly decreased the proportion of family members choosing to inform.Conclusion In daily work,patients and their families should be educated on disease-related knowledge to help them correctly understand the disease,understand treatment methods and nursing means,improve the satisfaction of patients′family members in obtaining disease information,and effectively improve the probability of family members fully informing patients of the notes for treatment plan assigned by doctors.

关 键 词：中晚期肺癌 患者家属 病情告知 

分 类 号：R734.2[医药卫生—肿瘤]