不同人群对癌症终末治疗及死亡态度影响因素

Investigation on influence factors of attitude towards treatment of terminal cancer and death among different people

目的探讨不同人群谈论死亡态度及癌症终末治疗态度的影响因素,为更好地服务于终末期癌症患者提供理论依据。方法采用自行设计的问卷对1 548名医护人员、普通疾病患者、癌症患者及家属进行调查。结果医护人员较其他人群更倾向于不介意谈论死亡和对终末治疗更理性,家庭人均月收入是谈论死亡的危险因素,文化程度是理性治疗的危险因素,差异均有统计学意义(P<0.05或P<0.01)。结论人们对待癌症终末治疗和死亡态度与社会经济和文化水平以及经常与疾病和死亡的接触经历有关。

Objective To explore the influence factors of attitude towards the treatment of terminal cancer and death among different people in order to provide a theoretical basis for better services to cancer patients. Methods A total of 1548 people including medical personnel, non-cancer patients, cancer patients and their family member were investigated with self- designed questionnaire. Results The medical personnel prefered discussing death and rational treatment. Family income per month was a risk factor for discussing death and education background was a risk factor for rational treatment with statistic significance （P 〈 0.05, P 〈 0.01 ）. Conclusion The attitudes towards the treatment of terminal cancer and death have a close relevancy with economic and cultural level and the experience of taking care of patients with severe disease or the death from illness. Key words：