实用医学杂志2025，Vol.41Issue(23)：3676-3683,8.DOI:10.3969/j.issn.1006-5725.2025.23.007
恶性肿瘤终末期患者临终抢救决策偏好现状及影响因素
End-of-life resuscitation decision-making preferences and their influencing factors among terminally ill patients with malignant tumors
摘要
Abstract
Objective To explore the preferences and influencing factors of terminal malignant tumor patients,and to provide a basis for optimizing hospice care.Methods A convenience sampling method was employed to select 485 patients with terminal malignant tumors from the oncology departments of two tertiary,class-A hospitals in Sichuan Province between September 2023 and November 2024.Data on demographic characteristics,decision-making-related information,preferences regarding resuscitation,and cultural belief levels were collected using a structured questionnaire.Results In critical situations,39.4%of patients opted for active rescue,33.6%chose to forgo treatment,and 27.0%preferred to maintain current treatment.Acceptance rates for nine specific interventions ranged from 28.9%to 61.2%.Multivariate logistic regression analysis revealed that stronger cultural beliefs,younger age,having a spouse,being the primary caregiver,employee medical insurance coverage,and use of invasive tubes were significantly associated with a tendency toward active or continued treatment(P<0.05).Prioritizing quality of life or concerns about economic burden were significantly associated with the decision to forgo life-sustaining interventions(P<0.05).Conclusions Patients with terminal malignant tumors exhibit diverse preferences regarding end-of-life resuscitation,significantly shaped by cultural beliefs,demographic factors,and family support.Clinicians should integrate patients'values,cultural backgrounds,and individual needs to provide tiered decision-making support,thereby facilitating medically appropriate and value-concordant care choices.关键词
恶性肿瘤/终末期/抢救决策/治疗偏好Key words
malignant tumor/terminal stage/resuscitation decision-making/treatment preference分类
医药卫生引用本文复制引用
蒋婷婷,郑儒君,纪铮,魏丹,陈茜..恶性肿瘤终末期患者临终抢救决策偏好现状及影响因素[J].实用医学杂志,2025,41(23):3676-3683,8.基金项目
国家重点研发计划项目(编号:2023YFC3605900) （编号:2023YFC3605900）
