影响癌症患者家属选择癌症告知策略的因素调查分析

Investigation and analysis on requirements of truth-telling strategy for the family members of patients with cancer and the influencing factors

目的了解癌症患者家属对癌症告知策略选择的影响因素，为科学告知癌症提供理论依据。方法采用自行设计的问卷对305名癌症患者家属进行调查。结果Logistic回归分析显示，性别、住地、职业、重病接触史、知情时间、丧亲经历、丧礼经历、宗教信仰以及谈论死亡的态度等因素对家属选择癌症告知策略具有一定影响。结论构建和谐的医疗关系，医护人员应充分尊重癌症患者家属的选择差异，与他们或协商合作、或教育引导，才能在“告诉事实”和“避免伤害”的冲突中取得最大的平衡。

Objective To know the influential factors towards the truth-telling strategy for the family members of patients with cancer, providing theoretical basis for scientific disclosure of cancer diagnosis. Methods 305 family members were investigated by a self-designed questionnaire. Results The results of Logistic analysis showed that gender, residence, occupation, history of caring critical patient, the time after being informed, experience of attending funeral and bereavement, religious belief and attitude about discuss death were predictors of the family members＇ attitudes towards the cancer-informing strategy. Conclusions In order to build up the harmonious relationship and get out of the dilemma of truth-telling, it＇ s the best ways for the medical staffs to respect to the families＇ choice, consult about their strategy and conduct their opinion, obtaining the largest balance between ＂truth-telling＂ and ＂avioding injury＂.