肺癌患者及照护者对“预立医疗照护计划”认知影响因素的研究

Study on Influencing Factors of Cognition of Lung Cancer Patients and Caregivers to “Advance Care Planning”

摘要: 目的：调查肺癌患者及照护者对预立医疗照护计划的认知状况及影响因素，为预立医疗照护计划的发展及实施提供理论依据和实践参考。方法：本研究采用了便利抽样的方法，选择150对肺癌III-IV期的住院患者及照护者作为研究对象。采用一般资料调查问卷、预立医疗照护计划接受程度调查问卷进行测评。结果：本研究共发放文卷300份(150对)，回收有效问卷290份(145对)，有效应答率为96.7%。肺癌患者对预立医疗照护计划认知均分为(57.68 ± 10.16)，照护者认知均分为(58.06 ± 9.18)，研究对象均处在中等水平偏低的认知状态。离异或丧偶，家庭月均收入的肺癌患者的认知得分高。对于照护者，年龄较大、子女数量较少的认知水平相对较高。结论：肺癌患者及照护者对预立医疗照护计划的认知处在中等偏低的水平，影响其认知的因素各有不同。

Abstract: Objective: To investigate the current status and influencing factors of cognition to ACP among lung cancer patients and their caregivers, and to provide theoretical basis and practical reference for the development and implementation of preexisting medical care plan. Methods: A convenience sampling method was used to select 150 inpatients with lung cancer stage III-IV and their caregivers as subjects. The general information questionnaire and the Advance Care Planning acceptance questionnaire were used for evaluation. Results: A total of 300 documents (150 pairs) were sent out, and 290 valid questionnaires (145 pairs) were received, with an effective response rate of 96.7%. The average cognitive scores of lung cancer patients and caregivers were (57.68 ± 10.16) and (58.06 ± 9.18), respectively, indicating that the subjects were in a moderately low cognitive state. Lung cancer patients with divorced or widowed spouses and average monthly household income had higher cognitive scores. For caregivers, older adults with fewer children had higher cognitive levels. Conclusion: Lung cancer patients and their caregivers’ cognition of pre-establi- shed health care plan is at a medium low level, and the influencing factors are different.