包头医学院学报
包頭醫學院學報
포두의학원학보
JOURNAL OF BAOTOU MEDICAL COLLEGE
2014年
4期
80-82
,共3页
预立医疗照护计划%影响因素%恶性肿瘤
預立醫療照護計劃%影響因素%噁性腫瘤
예립의료조호계화%영향인소%악성종류
AdVance directiVes%Influencing factors%Cancer
目的：探讨预立医疗照护计划的影响因素及其预期效果。方法：选取安徽某综合性医院晚期恶性肿瘤患者112名，通过自编的预立医疗照护计划的影响因素及预期效果问卷开展调查，对结果进行统计分析。结果：影响实施预立医疗照护计划的患者因素包括相关知识、心理负担、医患沟通障碍、与家属沟通障碍、死亡恐惧、权利意识淡薄、担心后续治疗、制度保障缺乏、签署时间10个方面，前3位的影响因素依次是担心后续治疗、死亡恐惧、心理负担；所有项目得均分在2.7分以上，属于中度影响及以上。结论：实施预立医疗照护计划需要针对肿瘤患者担心后续治疗、死亡恐惧、心理负担等方面开展工作，以此提高肿瘤患者的自主决定权，促进患者生活质量的提高，减少医患冲突和纠纷，减少肿瘤患者的经济负担和医疗资源的消耗。
目的：探討預立醫療照護計劃的影響因素及其預期效果。方法：選取安徽某綜閤性醫院晚期噁性腫瘤患者112名，通過自編的預立醫療照護計劃的影響因素及預期效果問捲開展調查，對結果進行統計分析。結果：影響實施預立醫療照護計劃的患者因素包括相關知識、心理負擔、醫患溝通障礙、與傢屬溝通障礙、死亡恐懼、權利意識淡薄、擔心後續治療、製度保障缺乏、籤署時間10箇方麵，前3位的影響因素依次是擔心後續治療、死亡恐懼、心理負擔；所有項目得均分在2.7分以上，屬于中度影響及以上。結論：實施預立醫療照護計劃需要針對腫瘤患者擔心後續治療、死亡恐懼、心理負擔等方麵開展工作，以此提高腫瘤患者的自主決定權，促進患者生活質量的提高，減少醫患遲突和糾紛，減少腫瘤患者的經濟負擔和醫療資源的消耗。
목적：탐토예립의료조호계화적영향인소급기예기효과。방법：선취안휘모종합성의원만기악성종류환자112명，통과자편적예립의료조호계화적영향인소급예기효과문권개전조사，대결과진행통계분석。결과：영향실시예립의료조호계화적환자인소포괄상관지식、심리부담、의환구통장애、여가속구통장애、사망공구、권리의식담박、담심후속치료、제도보장결핍、첨서시간10개방면，전3위적영향인소의차시담심후속치료、사망공구、심리부담；소유항목득균분재2.7분이상，속우중도영향급이상。결론：실시예립의료조호계화수요침대종류환자담심후속치료、사망공구、심리부담등방면개전공작，이차제고종류환자적자주결정권，촉진환자생활질량적제고，감소의환충돌화규분，감소종류환자적경제부담화의료자원적소모。
ObjectiVe:To inVestigate influencing factors for adVance directiVes and the eXpected effects. Methods:112 cancer patients from a general hospital in Anhui proVince were selected for an inVestigation of influencing factors for adVance di-rectiVes and the eXpected results. The inVestigation was conducted by the questionnaire of influencing factors and the eXpected effect,with the results statistically analyzed. ResuIts:The influencing factors for the implementation of adVance directiVes of the patients included such ten items as releVant knowledge,psychological burden,patients ' communication disorders with doctors, doctors' communication disorders with the families of the patients,fear of death,weak consciousness of the rights,worry oVer the follow-up treatment,the lack of institutional guarantee,signing time of the adVance directiVes. The top three influencing factors were the worry oVer follow-up treatment,the fear of death and the psychological burden,with an aVerage score of 2. 7 points or more in all the items,influencing moderately or a little seVerely. ConcIusion:Implementation of adVance directiVes needs to cen-ter around the work in the follow-up treatment,the fear of death and the psychological burden of the patients,etc. in order to strengthen the patients' own discretion,to improVe their life quality,to reduce conflicts and disputes between the hospitals and the patients and to lessen the patients' eXpense burden and medical resource consumption.
