广西医学2026，Vol.48Issue(3)：384-391,8.DOI:10.11675/j.issn.0253-4304.2026.03.12
癌症晚期患者代理决策者安宁疗护决策后悔现状及其影响因素
Current status of regret regarding palliative care decisions among surrogate decision-makers of patients with advanced cancer and its influencing factors
张晶 1张梦 2陈偶英 2王赛 3谢晓敏 4黄斌 5郑晓凤 6申州 7杨名 8张茜9
作者信息
- 1. 湖南中医药大学护理学院,湖南省 长沙市 410036||中南大学湘雅二医院 血液内科层流病区,湖南省 长沙市 410011
- 2. 湖南中医药大学护理学院,湖南省 长沙市 410036
- 3. 中南大学湘雅二医院 产科,湖南省 长沙市 410011
- 4. 中南大学湘雅二医院 血液内科层流病区,湖南省 长沙市 410011
- 5. 中南大学湘雅二医院肿瘤中心,湖南省 长沙市 410011
- 6. 中南大学湘雅医院肿瘤中心,湖南省 长沙市 410008
- 7. 中南大学湘雅三医院肿瘤中心,湖南省 长沙市 410013
- 8. 湖南省第二人民医院急诊科,湖南省 长沙市 410021
- 9. 湖南中医药大学第一附属医院重症监护室,湖南省 长沙市 410007
- 折叠
摘要
Abstract
Objective To investigate the current status of regret regarding palliative care decisions among surrogate decision-makers of patients with advanced cancer,and to analyze its influencing factors.Methods A total of 306 surrogate decision-makers for palliative care of patients with advanced cancer were selected as the research subjects using a convenience sampling method.They were surveyed using a general information questionnaire,the Chinese version of the Decision Regret Scale(DRS),the Chinese version of the Caregiver Preparedness Scale(CPS),the Decisional Conflict Scale(DCS),and the Quality of Dying and Death Questionnaire(QODD).Multiple linear regression model analysis was used to identify factors influencing regret regarding palliative care decisions among surrogate decision-makers of patients with advanced cancer.Results The DRS total score for surrogate decision-makers of patients with advanced cancer was 37.07±14.03,among them,85.95%reported high levels of regret regarding palliative care decisions.Statistically significant differences in DRS total scores were observed between surrogate decision-makers for palliative care of patients with advanced cancer with different gender,relationship with the patient,trust in the physician,level of understanding of palliative care,and whether they opted for treatments causing patient suffering with limited efficacy(P<0.05).The DRS total score negatively correlated with the CPS total score and QODD total score,and positively correlated with the DCS total score in surrogate decision-makers of patients with advanced cancer(P<0.05).Factors influencing decision regret of palliative care in surrogate decision-makers of patients with advanced cancer included trust in the physician,level of understanding of palliative care,whether they opted for treatments causing patient suffering with limited efficacy,preparedness for death,decision conflict,and the quality of dying and death of the patient(P<0.05).Conclusion Surrogate decision-makers of patients with advanced cancer experience high levels of regret regarding palliative care decisions.This regret is influenced by factors such as trust in the physician,level of understanding of palliative care,whether opting for treatments causing patient suffering with limited efficacy,preparedness for death,decision conflict,and the quality of dying and death of the patient.关键词
癌症晚期/代理决策者/安宁疗护/决策后悔/影响因素Key words
Advanced cancer/Surrogate decision-makers/Palliative care/Decision regret/Influencing factors分类
医药卫生引用本文复制引用
张晶,张梦,陈偶英,王赛,谢晓敏,黄斌,郑晓凤,申州,杨名,张茜..癌症晚期患者代理决策者安宁疗护决策后悔现状及其影响因素[J].广西医学,2026,48(3):384-391,8.
