中国全科医学Issue(31)：3770-3772,3776,4.DOI:10.3969/j.issn.1007-9572.2014.31.028
家属对癌症晚期患者终末期治疗与抢救决策的质性研究
Qualitative Analysis of Family Members' Decision Making on Treatment and Resuscitation of Terminal Stage Advanced Cancer Patients
王凌云 1韩琤琤 1刘春燕 1刘晓惠 1陈小冬 1路琦 1金琳1
作者信息
- 1. 100120 北京市西城区德胜社区卫生服务中心 首都医科大学全科医学与继续教育学院
- 折叠
摘要
Abstract
Objective To understand the status of family members' decision making and willingness on treatment and resuscitation of terminal stage advanced cancer patients in community hospice,and provide guidance for effective delivery of hos-pice care in community. Methods Phenomenological methods of qualitative study were applied in the research. Family members of 12 patients with advanced cancer were interviewed in depth during April and September in 2013,data was compiled and ana-lyzed by phenomenological analysis and relevant themes were concluded. Results Family members' decision making on treatment and resuscitation of terminal stage advanced cancer patients involved:methods of treatment and resuscitation in terminal stage, location of treatment,formation of decisions on treatment,etc. Regarding the methods,palliative care was the main approach, non - invasive resuscitation was predominant in terminal stage,only individual family members could give up ineffective resuscita-tion. Hospital was predominant regarding the location,few family members could deliver care at home. Family members played the dominant role in decision making on treatment and resuscitation of terminal stage advanced cancer patients. Conclusion Large gap still exists between family members' philosophy of decision making on treatment and resuscitation of terminal stage advanced cancer patients and the target of end of life care. Universal end of life care education and publicity at the social level,policy sup-port and guidance from the government,proper instructions from hospice health professionals are essential for the development of hospice care.关键词
癌症晚期患者/终末期治疗与抢救/决策/家属/质性研究Key words
Advanced cacer patients/Terminal stage treatment and resuscitation/Decision making/Family mem-bers/Oualitative study分类
医药卫生引用本文复制引用
王凌云,韩琤琤,刘春燕,刘晓惠,陈小冬,路琦,金琳..家属对癌症晚期患者终末期治疗与抢救决策的质性研究[J].中国全科医学,2014,(31):3770-3772,3776,4.
