目的：调查肺癌患者及照护者对预立医疗照护计划的认知状况及影响因素，为预立医疗照护计划的发展及实施提供理论依据和实践参考。方法：本研究采用了便利抽样的方法，选择150对肺癌III-IV期的住院患者及照护者作为研究对象。采用一般资料调查问卷、预立医疗照护计划接受程度调查问卷进行测评。结果：本研究共发放文卷300份(150对)，回收有效问卷290份(145对)，有效应答率为96.7%。肺癌患者对预立医疗照护计划认知均分为(57.68 ± 10.16)，照护者认知均分为(58.06 ± 9.18)，研究对象均处在中等水平偏低的认知状态。离异或丧偶，家庭月均收入的肺癌患者的认知得分高。对于照护者，年龄较大、子女数量较少的认知水平相对较高。结论：肺癌患者及照护者对预立医疗照护计划的认知处在中等偏低的水平，影响其认知的因素各有不同。
Objective: To investigate the current
status and influencing factors of cognition to ACP among lung cancer patients
and their caregivers, and to provide theoretical basis and practical reference
for the development and implementation of preexisting medical care plan. Methods:
A convenience sampling method was used to select 150 inpatients with lung
cancer stage III-IV and their caregivers as subjects. The general information
questionnaire and the Advance Care Planning acceptance questionnaire were used
for evaluation. Results: A total of 300 documents (150 pairs) were sent out,
and 290 valid questionnaires (145 pairs) were received, with an effective
response rate of 96.7%. The average cognitive scores of lung cancer patients
and caregivers were (57.68 ± 10.16) and (58.06 ± 9.18), respectively, indicating
that the subjects were in a moderately low cognitive state. Lung cancer
patients with divorced or widowed spouses and average monthly household income
had higher cognitive scores. For caregivers, older adults with fewer children
had higher cognitive levels. Conclusion: Lung cancer patients and their
caregivers’ cognition of pre-establi- shed health care plan is at a medium low
level, and the influencing factors are different.
References
[1]
World Health Organization (2018) Cancer Fact Sheets, Lung Cancer. http://gco.iarc.fr/today/fact-sheets-cancers
[2]
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R.L., Torre, L.A. and Jemal, A. (2018) Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 68, 394-424. https://doi.org/10.3322/caac.21492
[3]
Torre, L.A., Siegel, R.L. and Jemal, A. (2016) Lung Cancer Statistics. In: Ahmad, A. and Gadgeel, S., Eds., Lung Cancer and Personalized Medicine, Vol. 893, Springer, Cham, 1-19. https://doi.org/10.1007/978-3-319-24223-1_1
