肺癌病人生前预嘱的认知及行为调查

Investigation on the cognition and behavior of advanced directives among patients with lung cancer

[目的]调查肺癌病人对生前预嘱的认知水平和行为现状,并分析影响肺癌病人对生前预嘱态度的因素。[方法]采用自行设计的生前预嘱认知及行为调查问卷对某综合医院174例肺癌病人进行调查。[结果]肺癌病人生前预嘱认知总分为(23.06±2.89)分,条目均分为(2.09±0.68)分,5.17%病人采取了生前预嘱。多因素分析表明,有宗教信仰、文化程度高、病程长和有转移的病人对生前预嘱的态度更积极(P<0.01)。[结论]肺癌病人对生前预嘱的认知水平一般,采取生前预嘱的行为较少,宗教信仰、高文化程度、长病程和肿瘤转移是生前预嘱认知水平的预测因素。

Objective:To investigate the cognition and behavior status of advanced directives among patients with lung cancer,and to analyze the factors affecting the attitude of lung cancer patients towards advanced directives.Methods:A total of 174 lung cancer patients in a general hospital were surveyed by using self designed Cognition and Behavior Questionnaire for advanced directives.Results:The total score of questionnaire was 23.06±2.89,the average score of items was 2.09±0.68.Patients selecting advanced directives accounted to 5.17%.Multivariate analysis showed that patients with religious beliefs,higher education,longer duration of disease and having metastases,had a more positive attitude toward advanced directives(P<0.01).Conclusion:Lung cancer patients have a normal cognitive level of advanced directives.And behavior of making advanced directives were relatively less.Religious beliefs,high academic qualifications,long term duration of disease,and metastasis are predictors of cognition toward advanced directives.