护理学报2025，Vol.32Issue(22)：1-6,6.DOI:10.16460/j.issn2097-6569.2025.22.001
晚期肿瘤患者家属预立医疗照护计划接受度现状及影响因素研究
Acceptance of advance care planning among family members of patients with advanced tumors and its influencing factors
张淼淼 1徐萍 1马燕 2闫荣 3张德发1
作者信息
- 1. 山东第一医科大学护理学院,山东 济南 250000
- 2. 山东第一医科大学附属肿瘤医院消化内科病区,山东 济南 250000
- 3. 山东第一医科大学附属肿瘤医院预防管理部,山东 济南 250000
- 折叠
摘要
Abstract
Objective To explore the current status of acceptance of advance care planning(ACP)among family members of patients with advanced tumor and analyze its influencing factors.Methods A total of 317 family members of patients with advanced tumors were surveyed using the General Information Questionnaire,ACP Acceptance Questionnaire for Families of Patients with End-stage Chronic Diseases,Mishel Uncertainty in Illness Scale-Family Member Form and Perceived Social Support Scale.Results The ACP acceptance score among family members of patients with advanced tumor was 47.88±7.16.Single factor analysis showed that there were statistically significance of ACP acceptance in terms of family members'age,education background,place of residence,knowledge of life support technology,and whether to discuss future treatment plan with the patients(P<0.05).Multiple linear regression showed that education background,whether to discuss future treatment plan with the patients,perceived illness uncertainty,and social support were significant influencing factors(P<0.05),accounting for 25.3%of the total variance.Conclusion ACP acceptance among family mem-bers of patients with advanced tumor is above the medium level,while family members with lower education level,no prior discussion of future treatment plans with patients,higher disease uncertainty and lower social support demonstrate lower level of ACP acceptance.关键词
晚期肿瘤/家属/预立医疗照护计划/影响因素/调查分析Key words
advanced tumor/family members/advance care planning/influencing factors/investigation and analysis分类
医药卫生引用本文复制引用
张淼淼,徐萍,马燕,闫荣,张德发..晚期肿瘤患者家属预立医疗照护计划接受度现状及影响因素研究[J].护理学报,2025,32(22):1-6,6.
