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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan China: A Cross-Sectional Study
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Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan China: A Cross-Sectional Study

机译：武汉武汉先进癌症患者侵略性终生护理的偏好：横断面研究

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摘要

Life-sustaining treatments (LSTs) and end-of-life (EOL) care’s goal for prolonging one’s life are defined as aggressive EOL care among critically ill patients. They have limited effects and add unnecessary financial burden to advanced cancer patients. A questionnaire survey was conducted to collect information on demographics, disease conditions, preference for LSTs, and goal of EOL care among advanced cancer patients of comprehensive grade-A tertiary hospitals in Wuhan, mainland China. Most patients preferred to accept LSTs when they were in a critical condition, including cardiopulmonary resuscitation (89.9%), mechanical ventilation support (85.7%), nasogastric tube feeding (84.1%), blood transfusion (89.8%), general surgery (87.5%), and hemodialysis (85.8%). Most (88%) preferred prolonging life as the goal of EOL care. Logistic regression showed common influencing factors were participants who completed junior high/high school or below and were financially adequate had higher reference for aggressive EOL care. Patients whose physician had accurately disclosed prognosis; however, showed a decrease trend for aggressive EOL care. Most advanced cancer patients preferred to accept aggressive EOL care. Discussions about prognosis disclosure among physicians and patients should be improved. Education about LSTs’ limitations and comfort-oriented care’s benefits should be promoted among the advanced cancer patients in mainland China.
机译：持续维持治疗（LSTS）和寿命结束（EOL）Care延长一个人生的目标是在危重病患者中被定义为侵略性的EOL护理。它们的效果有限，并为晚期癌症患者增加了不必要的财务负担。对调查问卷调查进行了调查，收集有关人口统计，疾病条件，LST的偏好，以及EOL护理的目标，以及武汉大陆武汉的综合癌症患者的EOL护理的目标。大多数患者在患有危急情况下接受LST的患者，包括心肺复苏（89.9％），机械通风载体（85.7％），鼻胃管饲料（84.1％），输血（89.8％），普通手术（87.5％） ）和血液透析（85.8％）。大多数（88％）优选的延长生活是EOL护理的目标。 Logistic回归显示普通的影响因素是完成初中/高中或以下的参与者，并且在经济上足以对侵略性EOL护理有更高的参考。医生准确披露预后的患者;然而，表现出侵略性EOL护理的减少趋势。大多数先进的癌症患者尤其是接受侵袭性EOL护理。应改善关于医生和患者的预后披露的讨论。中国大陆晚期癌症患者应促进关于LSTS局限性和舒适的护理效果的教育。

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