Attitudes of patients with end-stage cancer to adjunctive intervention program of advance care planning: a qualitative study
10.3760/cma.j.cn115682-20200326-02223
- VernacularTitle:终末期肿瘤患者的预立医疗照顾计划辅助干预方案态度的质性研究
- Author:
Fangfang JIA
1
;
Huifeng LI
;
Kaijia XU
;
Zichen WANG
;
Dongling LIU
Author Information
1. 郑州大学第一附属医院肿瘤科三病区，郑州 450000
- Keywords:
Neoplasms;
Advance care planning;
Adjunctive intervention;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2020;26(31):4341-4344
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the attitudes of end-stage cancer patients to the adjunctive intervention program of the advance care planning, and analyze the influencing factors of their attitudes and choices.Methods:The purpose sampling was used to select 11 end-stage cancer patients hospitalized from January to December 2019. Face-to-face semi-structured in-depth interviews was conducted with the phenomenological research method in qualitative research. The Colaizzi 7-step method was used to organize, analyze data and refine themes.Results:A total of three themes were extracted, namely the attitude towards the advance care planning: mainly support or affirmation, not rejection; the acceptance of adjunctive intervention program: preference for basic supportive treatment, avoiding suffering and increasing family burdens due to invasive rescue; factors that affected patients' attitudes and choices of adjunctive intervention program: personal wishes, family members' attitudes, and information about disease and treatment methods.Conclusions:Patients with end-stage cancer do not reject advance care planning, and prefer basic supportive treatment based on the selection of adjunctive intervention programs, so as to avoid suffering and increasing family burdens due to invasive rescue. In the process of promotion and practice, the patient's personal wishes are important, but the key role of family members in medical decision-making cannot be ignored.
