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护理学报 ›› 2020, Vol. 27 ›› Issue (12): 28-32.doi: 10.16460/j.issn1008-9969.2020.12.028

• 调查研究 • 上一篇    下一篇

932名武汉市民对生命维持治疗的态度现状及影响因素分析

林慧菁, 倪平   

  1. 华中科技大学同济医学院 护理学院,湖北 武汉 430030
  • 收稿日期:2020-01-16 出版日期:2020-06-25 发布日期:2020-07-08
  • 通讯作者: 倪平(1983-),女,湖北随州人,博士,副教授。E-mail:939437779@qq.com
  • 作者简介:林慧菁(1999-),女,海南儋州人,黎族,本科,学生。
  • 基金资助:
    华中科技大学大学生创新创业训练计划(18A151)

Current Status of Attitudes to Life-sustaining Treatment in Citizens and Its Influencing Factors: A 932-case Study

LIN Hui-jing, NI Ping   

  1. School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2020-01-16 Online:2020-06-25 Published:2020-07-08

摘要: 目的 探讨武汉市民对生命维持治疗的态度,分析其影响因素。方法 采用便利抽样法,2018年6月—2019年1月抽取武汉成年市民932名,采用一般资料调查表及生命维持治疗调查表对其进行调查,采用二分类Logistic回归分析生命维持治疗态度的影响因素。结果 932名市民中,600名(64.4%)听说过生命维持治疗,842名(90.3%)在假设病情严重或陷入昏迷时拒绝接受这些治疗。二分类Logistic回归分析显示,未患绝症(OR=2.153,P<0.001)的市民倾向于接受生命维持治疗,年龄越大(50~59岁:OR=0.472,P=0.028;≥60岁:OR=0.402,P=0.013)、大专及以上学历(OR=0.526,P=0.009)、患有绝症(OR=0.542,P=0.037)的市民越倾向于拒绝生命维持治疗。结论 本研究中64.4%市民听说过生命维持治疗,90.3%倾向于拒绝生命维持治疗,年龄、教育程度、是否患绝症是对生命维持治疗态度的主要影响因素。建议加强对生命维持治疗局限性的宣教,以帮助市民理解其本质,做出理性选择,提高生命质量。

关键词: 市民, 生命维持治疗, 绝症, 生命质量

Abstract: Objective To investigate the attitudes toward life-sustaining treatment in citizens and explore its influencing factors. Methods From June 2018 to January 2019, with a cross-sectional survey method, 932 Wuhan adult citizens were investigated by a general information questionnaire and Life-sustaining Treatment Questionnaire. Binary logistic regression analysis was used to analyze the influencing factors. Results Among the 932 citizens, 600(64.4%) had heard of life-sustaining treatment and 842 (90.3%) rejected it in case that they were seriously ill or in a coma. Binary logistic regression analysis showed citizens without terminal illness (OR=2.153, P<0.001) tended to accept life-sustaining treatment, while those with advanced age (50~59 years: OR=0.472, P=0.028; ≥60 years: OR=0.402, P=0.013), with education background of junior college or above (OR=0.526, P=0.009) and terminal illness (OR=0.542, P=0.037) tended to reject it. Conclusion In the study, 64.4% have heard of life-sustaining treatment and 90.3% tend to reject it among 932 citizens. Age, educational background and whether suffering terminal illness are the major factors influencing attitudes to life-sustaining treatment. Education on the limitations of life-sustaining treatment should be strengthened to help citizens understand its essence so to make rational choices and improve the quality of life.

Key words: citizen, life-sustaining treatment, terminal illness, quality of life

中图分类号: 

  • R47
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