晚期癌症病人尊严死认知与态度现状及相关因素分析

Status quo and related factors analysis of cognition and attitude toward death with dignity in patients with advanced cancer

[目的]了解晚期癌症病人对尊严死的认知与态度,并分析晚期癌症病人尊严死态度的影响因素。[方法]选取2017年3月—2017年8月在天津医科大学肿瘤医院住院的177例晚期癌症病人为研究对象,采用自行编制的尊严死认知及态度调查问卷、中文版优逝期望量表进行问卷调查。[结果]29.4%晚期癌症病人听说或了解过尊严死,66.1%晚期癌症病人支持尊严死。晚期癌症病人优逝期望量表总分为(214.33±23.78)分。文化程度高、接受过死亡教育、疼痛程度高、在乎生活质量的晚期癌症病人更倾向选择尊严死。[结论]晚期癌症病人对尊严死的认知水平较低,但态度较为积极,病人是否接受尊严死受多种因素影响。为提高晚期癌症病人对尊严死的接受度,需普及相关死亡知识教育。

Objective:To understand the cognition and attitude toward death with dignity in patients with advanced cancer,and to analyze the influencing factors.Methods:A total of 177 patients with advanced cancer,who were in hospital in Tianjin Medical University Cancer Institute and Hospital from March to August in 2017,were selected as subjects.Investigation was carried out by a self developed questionnaire for cognition and attitude toward death with dignity,and the Chinese version of Good Death Inventory(GDI).Results:Patients with advanced cancer,who had heard or understood death with dignity,accounted for 29.4%.And patients supporting death with dignity,accounted for 66.1%.Total score of GDI was 214.33±23.78.Advanced cancer patients,who had high level of education,received death education,suffered more severe pain,and focused on quality of life,were more likely to accept death with dignity.Conclusion:The level of cognition of death with dignity in patients with advanced cancer was lower.But patienrs′attitudes were positive.Their attitude was influenced by various factors.In order to improve the acceptance of death with dignity in patients with advanced cancer,death related education should be popularized.