摘要
目的探讨门诊患者对癌症告知方式的认知取向及其影响因素,为完全不知情的癌症患者的告知提供参考依据。方法对某综合医院普通门诊候诊以及注射室输液的307例普通疾病患者(下称非癌症患者)采用自行设计的癌症告知方式问卷进行调查。结果"总是让患者看到治疗的希望"评分最高,为4.33分,告知前"征得家人同意"、告知时"有家属陪伴"评分均>4分。城市居民比乡镇居民更加主张癌症告知应该"在安静的私密性环境中进行",告知时应该"有计划分布多次进行"并"留有余地",在治疗中"总是让患者看到希望"(均P<0.05)。有危重病接触史者比无重病接触史者更赞同癌症告知时"有家属陪伴"以及"面对面直接口头交流"(P<0.05)。体力劳动者比脑力劳动者更加主张癌症告知时"避免让与疾病不相关的人知道病情"(P<0.05)。结论非癌症患者对告知时家属的同意与参与较为认同,而对告知方式的认同因其家庭居住地、重病接触史、职业呈现出多样性,应在仔细评估基础上满足患者的信息需求。
Objective To explore non-cancer patients＇ attitude towards disclosure skills and influencing factors, and to provide information for diagnostic disclosure to cancer patients who are totally unaware of their own status. Methods A total of 307 noncancer patients were investigated in terms of disclosure skills by using a self-designed questionnaire. Results Of all items,the item of ＂always give patients hope＂ scored the highest point of 4.33, while the scores of such items as ＂obtain consent from family members of cancer patients before the disclosure＂and ＂allow family members to keep patients＇ company during disclosure＂ were greater than 4. City residents achieved more overwhelming agreement on items of ＂disclosing to cancer patients in a private environment＂, ＂the disclosure should be stepwise＂, ＂the disclosure should leave some margin for the patients to buffer＂, and of ＂always give patients hope＂ than countryside dwellers（P〉0.05 for all）. Non-cancer patients with history of contact with severely ill patients far more agreed on items of ＂allow family members to keep patients＇ company during disclosure＂ and ＂face-to-face disclosure＂ than those without such history（P〈0.05）; manual laborers far more agreed on items of ＂do not allow disclosure to an outsider＂ than office workers（P〈0.05）. Conclusions Non-cancer patients＇ place a high value on family members＇ participation during disclosure,and they have diversified cognitions on disclosure skills. Meticulous assessment should be made before satisfying cancer patients＇ information need.
出处
《中华护理杂志》
CSCD
北大核心
2009年第3期201-204,共4页
Chinese Journal of Nursing
基金
湖北省科技攻关计划项目
项目编号:2005AA301C34
关键词
病人参与
肿瘤
认知
问卷调查
Patient Participation
Neoplasms
Cognition
Questionnaires
