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曾铁英, 周敏, 冯丽娟, 方鹏骞. 癌症患者重症疾病告知策略选择影响因素分析[J]. 中国公共卫生, 2009, 25(7): 810-812. DOI: 10.11847/zgggws2009-25-07-22
引用本文: 曾铁英, 周敏, 冯丽娟, 方鹏骞. 癌症患者重症疾病告知策略选择影响因素分析[J]. 中国公共卫生, 2009, 25(7): 810-812. DOI: 10.11847/zgggws2009-25-07-22
ZENG Tie-ying, ZHOU Min, FENG Li-jua, . Investigation on requirements and influencing factors of disclosure strategy for cancer patients[J]. Chinese Journal of Public Health, 2009, 25(7): 810-812. DOI: 10.11847/zgggws2009-25-07-22
Citation: ZENG Tie-ying, ZHOU Min, FENG Li-jua, . Investigation on requirements and influencing factors of disclosure strategy for cancer patients[J]. Chinese Journal of Public Health, 2009, 25(7): 810-812. DOI: 10.11847/zgggws2009-25-07-22

癌症患者重症疾病告知策略选择影响因素分析

Investigation on requirements and influencing factors of disclosure strategy for cancer patients

  • 摘要: 目的 了解癌症患者对重症疾病告知策略选择的影响因素,为有针对性地告知癌症提供理论依据.方法 采用自行设计的调查问卷对302例癌症患者进行调查.结果 Logistic回归分析结果显示,女性、已婚、性格外向和介意谈论死亡者更支持家属参与告知过程;有既往住院经历OR (95%CI)=2.70 (1.24~5.89)和自觉病情较轻者OR (95%CI)=1.89 (1.05~3.45)更主张及时告知;文化程度高者更赞同医生直接告知OR (95%CI)=1.91 (1.20~3.06),差异均有统计学意义 (P<0.05).结论 人性化癌症告知策略需要考虑患者的个人背景、个性特征、患病史和对待死亡的态度等.

     

    Abstract: Objective To study the requirements and influencing factors of disclosure strategy for patients with cancer for providing theoretical basis to the disclosure of cancer.Methods Three hundred and two patients with cancer were investigated with self-designed questionnaire.Results The results of Logistic analysis showed that the female,the married,the patients with outgoing personality and minding to talk about death were more likely to support family members joining disclosure process.The patients with previous hospitallization experience (OR=1.89,95% CI=1.24-5.89),and light self-rated condition consciousness (OR=1.89,95% CI=1.05-3.45) were more likely to approve timely truth-telling.The patients with higher education (OR=1.91,95% CI=1.20-3.06) were more likely to agree on doctor's direct informing.All the differences were statistically significant (P<0.05 or P<0.01).Conclusion To establish disclosure strategy with humanity,it is necessary to take patients' background,personality,history of illness and attitude toward death into consideration.

     

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