肝癌病人缓和照护认知现况及准备度影响因素分析  

Analysis of the current status of the palliative care cognitionand influencing factors of readiness in patients with liver cancer

作　　者：孙晓玲 刘卉 王娜娜 SUN Xiaoling;LIU Hui;WANG Nana(Department of General Surgery,The People′s Hospital of Fuyang,Fuyang Anhui 236000,China)

机构地区：[1]安徽省阜阳市人民医院普外科,236000

出　　处：《蚌埠医学院学报》2024年第8期1116-1121,共6页Journal of Bengbu Medical College

摘　　要：目的:了解肝癌病人缓和照护(PC)认知现况,探讨PC准备度的影响因素,为寻求有效的干预措施和临床工作及基础护理工作提供帮助。方法:采取便利抽样选取98例肝癌病人为研究对象,采用一般情况调查问卷、PC认知量表(PPCI)、癌症应对问卷(MoCCMQ)、终末期相关医疗经历(PEES)为评测工具,以调查肝癌病人PC认知现况和PC准备度的影响因素。结果:在情绪反应中,63.27%的病人选择面对PC时表现为积极情绪;在认知反应中,86.73%的病人表现为支持认知;在PC需求中,71.43%的病人表现为情感需求,63.26%的病人表现为实际需求;53.06%的病人存在负担感知。不同自感经济压力水平、医保情况、自感家庭支持、PC了解程度的病人准备度比较,差异均有统计学意义(P<0.05)。Pearson相关分析结果显示,PC准备度与“面对”“屈服”、终末期经历、就医信任度、仁爱和技术能力均呈正相关关系(P<0.01),与“回避与压抑”呈显著负相关关系(P<0.01)。多元线性回归分析显示自感家庭支持越高、越了解PC、终末期医疗经历分值越高、就医信任度越高、面对的肝癌病人PC准备度越高,而回避与压抑、自感经济压力越大的PC准备度越低。这些变量共解释肝癌病人PC准备度68.3%的变异。结论:肝癌病人PC认知表现为积极情绪较多,对PC持支持态度较多,PC需求较高,存在一定负担感受,PC准备度处于中等水平,家庭支持、经济压力、PC了解程度、终末期医疗经历、就医信任度、医学应对方式均是PC准备度的独立影响因素。Objective:To understand the current status of palliative care(PC)cognition of liver cancer patients,explore the influencing factors of PC readiness,and provide help for seeking effective intervention measures,clinical work and basic nursing work.Methods:A total of 98 liver cancer patients were selected by convenience sampling.The current status of PC cognition and the influencing factors of PC readiness in the liver patients were investigated using the general situation survey questionnaire,PC cognition scale(PPCI),cancer coping questionnaire(MoCCMQ)and end stage related medical experience(PEES).Results:In terms of emotional response,63.27%of patients chose to show positive emotions at facing PC;in cognitive response,86.73%of patients showed supportive cognition;in terms of PC needs,71.43%of patients expressed emotional needs,and 63.26%of patients expressed actual needs,and 53.06%of patients had a sense of burden.The differences of the levels of perceived economic pressure,medical insurance status,perceived family support and understanding of PC among the patients were statistically significant(P<0.05).The results of Pearson correlation analysis results showed that the readiness for PC was positively correlated with the"facing""yielding",end-of-life experience,medical trust,benevolence and technical ability(P<0.01),and significantly negatively correlated with"avoidance and suppression"(P<0.01).The results of multiple linear regression analysis showed that the higher the perceived family support,understanding of PC,end-stage medical experience score,trust in medical treatment and readiness for PC among liver cancer patients,the lower readiness for PC among those who avoided and suppressed,and felt greater economic pressure.Together,these variables explained 68.3%of the variation in PC readiness in patients with liver cancer.Conclusions:Liver cancer patients exhibit more positive emotions towards PC,a supportive attitude towards PC,a higher demand for PC,a certain sense of burden,and a moderate level of readiness f

关 键 词：肝肿瘤 缓和照护 认知 准备度 

分 类 号：R735.7[医药卫生—肿瘤]