老年慢性病共病病人优逝期望现状  

Status quo of expectations for good death in elderly patients with chronic comorbidities

作　　者：张静敏 陶慧 孙娅娇 鲍石存 吴倩 ZHANG Jingmin;TAO Hui;SUN Yajiao;BAO Shicun;WU Qian(The Geriatrics Hospital of Yunnan Province,Yunnan 650030 China;School of Nursing,Kunming Medical University;The Second Affiliated Hospital of Kunming Medical University)

机构地区：[1]云南省老年病医院,云南650030 [2]昆明医科大学护理学院 [3]昆明医科大学第二附属医院

出　　处：《护理研究》2025年第6期1001-1006,共6页Chinese Nursing Research

基　　金：2023年度云南省教育厅老年慢性疾病综合照护重点实验室建设项目,编号:云教发〔2024〕5号;2022年度云南省研究生导师团队建设项目,编号:云学位〔2022〕7号。

摘　　要：目的:了解老年慢性病共病病人优逝期望现状。方法:于2022年5月—12月便利抽取云南省某老年病医院就诊的282例老年慢性病共病病人为研究对象,采用一般资料调查表、老年人优逝期望问卷进行调查。采用目的抽样法从量性研究对象中抽取12例病人进行半结构化访谈。结果:老年慢性病共病病人优逝期望总分为(127.66±14.88)分,其中生理舒适维度条目均分最高[(4.35±0.51)分],之后依次为尊重维度[(4.23±0.55)分]、心理精神支持维度[(4.06±0.57)分]、医疗系统支持维度[(4.03±0.57)分]、社会关系支持维度[(4.01±0.54)分]、自主权维度[(3.97±0.69)分]。将质性和量性研究结果相关联,整理提炼出6个一级主题及15个二级主题。结论:老年慢性病共病病人有着较高的优逝期望,建议从改善生理状态、维持尊严、心理精神支持、沟通交流、完善安宁疗护服务和临终准备方面实施干预,帮助老年慢性病共病病人实现优逝。Objective:To understand the status quo of expectations for a good death in elderly patients with chronic comorbidities.Methods:A total of 282 elderly patients with chronic comorbidities treated at a geriatric hospital in Yunnan province were conveniently sampled as the research subjects from May 2022 to December 2022.A general information questionnaire and Elderly of Good Death Inventory were used for the survey.A total of 12 patients were selected from the quantitative research subjects for semi-structured interviews by purposive sampling.Results:The total score of expectations for good death in elderly patients with chronic comorbidities was(127.66±14.88)points,in which the highest average score of items was the physiological comfort dimension[(4.35±0.51)points],followed by the respect dimension[(4.23±0.55)points],the psychological and mental support dimension[(4.06±0.57)points],the medical system support dimension[(4.03±0.57)points],the social relationship support dimension[(4.01±0.54)points],and the autonomy dimension[(3.97±0.69)points].After correlating qualitative and quantitative research results,6 primary themes and 15 secondary themes were identified and refined.Conclusions:Elderly patients with chronic comorbidities have high expectations for good death.Therefore,it is recommended to implement interventions in terms of improving physiological status,maintaining dignity,psychological and mental support,communication,improving palliative care services,and end-of-life preparation to help elderly patients with chronic comorbidities achieve good death.

关 键 词：老年人 慢性病共病 优逝 期望 终末期护理 人文护理 

分 类 号：R47[医药卫生—护理学]