晚期胃癌患者预立医疗照护计划准备度现状及影响因素分析  

The Readiness for Advance Care Planning and Its Influencing Factors among Patients with Advanced Diastric Cancer

作　　者：李艳[1] 杜雪[1] 王红燕[1] 李风秀 齐立华 武雪婕[1] LI Yan;DU Xue;WANG Hongyan;LI Fengxiu;QI Lihua;WU Xuejie(The General Hospital of Ningxia Medical University,Yinchuan 750003)

机构地区：[1]宁夏医科大学总医院,银川750003

出　　处：《临床护理杂志》2024年第4期11-14,共4页Journal of Clinical Nursing

基　　金：宁夏医科大学校级科研项目(XM2021052)。

摘　　要：目的调查晚期胃癌患者预立医疗照护计划准备度现状并分析影响因素。方法选取2023年3月-6月我院收治的晚期胃癌患者209例为研究对象,采用一般资料调查表、预立医疗照护计划准备度量表进行调查。结果晚期胃癌患者预立医疗照护计划准备度总分为(66.22±8.02)分,处于中等偏上水平;多元线性回归分析结果显示,年龄、病程、ECOG评分、文化程度是晚期胃癌患者预立医疗照护计划准备度的独立影响因素(P<0.05)。结论晚期胃癌患者预立医疗照护计划准备度处于中等偏上水平,医护人员应提高患者对ACP重要性的认识,同时关注年龄大、病程短、文化程度低、ECOG评分高的患者,促进预立医疗照护计划的普及应用。Objective To investigate the current status of readiness for Advance Care Planning(ACP)in advanced gastric cancer patients,analyze its influencing factors,and provide reference for the implementation of ACP in China.Methods Atotal of 209 patients with advanced gastric cancer admitted to our hospital from March to June 2023 as the research subjects.A general information questionnaire and a preestablished medical care plan preparation scale were used to conduct a questionnaire survey on them.Results The total score of ACP readiness in patients with advanced gastric cancer was(66.22±8.02),which was above the medium level;The results of multiple linear regression analysis showed that age,disease course,ECOG score and educational level were independent factors affecting the readiness of advanced gastric cancer patients for ACP(P<0.05).Conclusion The preparedness of advanced gastric cancer patients for ACP needs to be strengthened,and medical staff should raise patients'awareness of the importance of ACP,while paying attention to older,shorter course,low education level and high ECOG score patients,and promoting the popularization and application of advance care plan.

关 键 词：胃肿瘤 预立医疗照护计划 

分 类 号：R735.2[医药卫生—肿瘤] R473.73[医药卫生—临床医学]