Qualitative research on cognition and attitude of patients with end-stage lung cancer towards advance care planning
10.3760/cma.j.cn115682-20200223-00976
- VernacularTitle:终末期肺癌患者预立医疗照护计划的认知和态度的质性研究
- Author:
Xiaoling QU
1
;
Wei ZHANG
;
Xiaoying ZHANG
;
Yu ZHANG
Author Information
1. 首都医科大学附属北京友谊医院医保内科 100050
- Keywords:
Lung neoplasms;
Advance care planning;
Cognition;
Attitude;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2020;26(35):4944-4948
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the cognition and attitudes of patients with end-stage lung cancer towards advance care planning (ACP) by qualitative research.Methods:Using the purposive sampling method, a total of 17 patients with end-stage lung cancer who were hospitalized in Department of Geriatrics in Beijing Friendship Hospital, Capital Medical University from December 2018 and July 2019 were selected as research objects. Semi-structured interviews were used to conduct one-to-one, face-to-face in-depth interviews, and qualitative research content analysis methods were used to transcribe, code, analyze categories, describe and organize the interview data and refine and explain the theme.Results:The cognition of patients with end-stage lung cancer on ACP extracted two themes, including lack of ACP-related knowledge and great differences in the timing of ACP determination. The feelings of patients with end-stage lung cancer about ACP extracted three themes, including higher ACP recognition, increased negative emotions caused by the setting of ACP and questioning the role of ACP.Conclusions:Patients with end-stage lung cancer have higher recognition of ACP, but there are still more misunderstandings. Medical staff should strengthen the health education of patients, carry on the psychological construction to patients step by step, eliminate psychological concerns and help to realize the expectation of the future end-of-life treatment, nursing needs.
