Current situation and analysis of factors influencing end-of-life communication with cancer patients and nursing implication
10.3969/j.issn.1671-8283.2025.08.001
- VernacularTitle:癌症患者临终沟通障碍现状、影响因素分析及护理启示
- Author:
Yalin ZHU
1
;
Yan LI
;
Linlin SHI
;
Shouxia CHAI
Author Information
1. 十堰市人民医院 湖北医药学院附属人民医院 康复科,湖北 十堰,442000
- Publication Type:Journal Article
- Keywords:
cancer patients;
end-of-life communication;
family function;
self-efficacy;
nursing;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(8):1-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate current situation and the factors influencing end-of-life communications in families having cancer patients in order to provide advices for family intervention.Methods In this cross-sectional study,convenience sampling method was used to select 354 cancer patients from three Tier-IIIA hospitals in Shiyan between December 2022 and May 2023.Data were collected using a general data questionnaire,the difficulties in end-of-life discussions-family inventory(DEOLD-FI),family assessment device(FAD),and the Chinese version of the strategies used by people to promote health(SUPPH)scale.Univariate analysis included analysis of variance,independent sample t-test,and Pearson correlation analysis.Multiple linear regression identified the factors associated with end-of-life communication difficulty with cancer patients.Results A total of 320 cancer patients completed the study.The score of end-of-life communication with cancer patients was(76.5±16.0)at medium level.Multiple linear regression analysis revealed that individuals who were older,had higher self-management efficacy,and had better family functioning experienced lower barriers to end-of-life communication.Those with three or more comorbidities experienced the lowest barriers to end-of-life communication.Conclusion This study has found that there is a moderate end-of-life communication difficulty with cancer patients.Medical professionals should focus on these reasons and organize multidisciplinary collaboration with families,hospitals and social workers is essential to address the challenges.
