932名武汉市民对生命维持治疗的态度现状及影响因素分析

Current Status of Attitudes to Life-sustaining Treatment in Citizens and Its Influencing Factors:A 932-case Study

目的探讨武汉市民对生命维持治疗的态度,分析其影响因素。方法采用便利抽样法,2018年6月—2019年1月抽取武汉成年市民932名,采用一般资料调查表及生命维持治疗调查表对其进行调查,采用二分类Logistic回归分析生命维持治疗态度的影响因素。结果932名市民中,600名(64.4%)听说过生命维持治疗,842名(90.3%)在假设病情严重或陷入昏迷时拒绝接受这些治疗。二分类Logistic回归分析显示,未患绝症(OR=2.153,P<0.001)的市民倾向于接受生命维持治疗,年龄越大(50~59岁:OR=0.472,P=0.028;≥60岁:OR=0.402,P=0.013)、大专及以上学历(OR=0.526,P=0.009)、患有绝症(OR=0.542,P=0.037)的市民越倾向于拒绝生命维持治疗。结论本研究中64.4%市民听说过生命维持治疗,90.3%倾向于拒绝生命维持治疗,年龄、教育程度、是否患绝症是对生命维持治疗态度的主要影响因素。建议加强对生命维持治疗局限性的宣教,以帮助市民理解其本质,做出理性选择,提高生命质量。

Objective To investigate the attitudes toward life-sustaining treatment in citizens and explore its influencing factors.Methods From June 2018 to January 2019,with a cross-sectional survey method,932 Wuhan adult citizens were investigated by a general information questionnaire and Life-sustaining Treatment Questionnaire.Binary logistic regression analysis was used to analyze the influencing factors.Results Among the 932 citizens,600(64.4%)had heard of life-sustaining treatment and 842(90.3%)rejected it in case that they were seriously ill or in a coma.Binary logistic regression analysis showed citizens without terminal illness(OR=2.153,P<0.001)tended to accept life-sustaining treatment,while those with advanced age(50~59 years:OR=0.472,P=0.028;≥60 years:OR=0.402,P=0.013),with education background of junior college or above(OR=0.526,P=0.009)and terminal illness(OR=0.542,P=0.037)tended to reject it.Conclusion In the study,64.4%have heard of life-sustaining treatment and 90.3%tend to reject it among 932 citizens.Age,educational background and whether suffering terminal illness are the major factors influencing attitudes to life-sustaining treatment.Education on the limitations of life-sustaining treatment should be strengthened to help citizens understand its essence so to make rational choices and improve the quality of life.