End-of-life resuscitation decision-making preferences and their influencing factors among terminally ill patients with malignant tumors
10.3969/j.issn.1006-5725.2025.23.007
- VernacularTitle:恶性肿瘤终末期患者临终抢救决策偏好现状及影响因素
- Author:
Tingting JIANG
1
;
Rujun ZHENG
;
Zheng JI
;
Dan WEI
;
Qian CHEN
Author Information
1. 四川大学华西医院生物治疗研究病房/四川大学华西护理学院(四川 成都 610000)
- Publication Type:Journal Article
- Keywords:
malignant tumor;
terminal stage;
resuscitation decision-making;
treatment preference
- From:
The Journal of Practical Medicine
2025;41(23):3676-3683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the preferences and influencing factors of terminal malignant tumor patients,and to provide a basis for optimizing hospice care.Methods A convenience sampling method was employed to select 485 patients with terminal malignant tumors from the oncology departments of two tertiary,class-A hospitals in Sichuan Province between September 2023 and November 2024.Data on demographic characteristics,decision-making-related information,preferences regarding resuscitation,and cultural belief levels were collected using a structured questionnaire.Results In critical situations,39.4%of patients opted for active rescue,33.6%chose to forgo treatment,and 27.0%preferred to maintain current treatment.Acceptance rates for nine specific interventions ranged from 28.9%to 61.2%.Multivariate logistic regression analysis revealed that stronger cultural beliefs,younger age,having a spouse,being the primary caregiver,employee medical insurance coverage,and use of invasive tubes were significantly associated with a tendency toward active or continued treatment(P<0.05).Prioritizing quality of life or concerns about economic burden were significantly associated with the decision to forgo life-sustaining interventions(P<0.05).Conclusions Patients with terminal malignant tumors exhibit diverse preferences regarding end-of-life resuscitation,significantly shaped by cultural beliefs,demographic factors,and family support.Clinicians should integrate patients'values,cultural backgrounds,and individual needs to provide tiered decision-making support,thereby facilitating medically appropriate and value-concordant care choices.
