医护人员判断癌症患者濒死期的质性研究

Qualitative study on cancer patients agonal judge of medical staff

目的 探讨医护人员从癌症患者哪些症状来判断其处于濒死期.方法 2015年5月采用焦点小组访谈法,共3组,每组5人,选择合适的时间、地点进行访谈.访谈围绕主题＂如何判断晚期癌症患者处于濒死期＂,按照制订的访谈提纲进行.结果 通过内容分析得出濒死期患者常表现出以下方面：疼痛、＂回光返照＂、意识、呼吸方式、血液循环、出入量、功能状态7个方面的改变,以及医护人员凭直觉经验来判定患者处于濒死期.结论 医护人员对评估癌症患者濒死期有自己的质性认识,临终前部分症状的改变可为评估生存期提供参考.

Objective To explore what symptoms which the medical staff judged from determination of agonal symptoms in cancer patients. Methods Focus group interview was conducted by 3 groups, 5 people in each group in appropriate time and place at May 2015. The interview was conducted around the theme of＂how to judge the advanced cancer patients in dying＂. Results Agonal patients often showed changes in 7 aspects by content analyzing included pain, ＂the last radiance of the setting sun＂, consciousness, breathing patterns, blood circulation, intake and output volume and functional status. Besides, the instinct and experience of medical staff was another determinant. Conclusions Medical staff members have their qualitative understanding on evaluating when cancer patients are agonal. Changes in some symptoms before death can provide references for evaluating survival time.