癌症患者临终沟通准备度现状及影响因素分析

Analysis of the Current Situation and Influencing Factors of End-of-Life Communication Preparedness among Cancer Patients

摘要: 目的：了解癌症患者临终沟通准备度现状及影响因素，为临床干预提供理论依据。方法：采用横断面调查法，于2025年4月至2025年5月便利抽取四川省5家三级甲等综合医院，符合纳入排除标准的癌症患者作为研究对象，采用一般资料量表、癌症患者临终沟通准备度量表对其进行现况调查。结果：本研究共回收问卷223份，样本回收率96.96%，223例癌症患者临终沟通准备度得分(34.00 ± 8.05)分，是否饮酒、止痛药使用频率、家属交流频率、主要陪护者是其影响因素。结论：癌症患者临终沟通准备度处于中等偏下水平，建议医务人员加强临终沟通相关培训，关注患者心理状态，加强该领域的相关研究。

Abstract: Objective: To understand the current status of end-of-life communication preparedness among cancer patients and explore the influencing factors, in order to provide a basis for formulating targeted intervention measures. Methods: A cross-sectional survey method was adopted. From April to May 2025, five tertiary grade A general hospitals in Sichuan Province were conveniently selected as the research subjects. Cancer patients who met the inclusion and exclusion criteria were selected as the research objects. The general information scale and the cancer patient end-of-life communication preparedness scale were used to conduct a current situation survey. Results: A total of 223 questionnaires were recovered, with a sample recovery rate of 96.96%. The scores of end-of-life communication preparedness of 223 cancer patients were (34.00 ± 8.05) points. Whether to drink alcohol, the frequency of using painkillers, the frequency of family communication, and the main caregiver were the influencing factors. Conclusion: The end-of-life communication preparedness of cancer patients is at a moderately low level. It is recommended that medical staff strengthen training on end-of-life communication, pay attention to the psychological state of patients, and conduct more research in this field.