晚期癌症患者拒绝或接受生命维持治疗原因的质性研究

doi:10.3969/j.issn.1672-1756.2022.11.010

Abstract

Abstract: Objective: To explore the reasons why patients with advanced cancer refuse or accept Life-Sustaining Treatments, and to provide a theoretical basis for death education. Methods: A total of 18 patients with advanced cancer admitted to a cancer hospital from July 2021 to January 2022 were recruited in this phenomenological research. Semi-structured interviews were conducted. Data were collated and analyzed using Colaizzi's method. Results: We identified the reasons for refusing or accepting Life-Sustaining Treatments in patients with advanced cancer. The six sub-themes for refusing life-sustaining treatments included reluctancy to aggravate financial, care, and mental burden on family members, pursuit of quality of life, maintenance of self-dignity, relief of life (transcendence of death), and completed outstanding matters. The two sub-themes of accepting life-sustaining treatments included attachment to family and reverence for life. Conclusion: Medical staff should guide patients with advanced cancer to comprehensively understand Life-Sustaining Treatments, take positive measures to promote dignified care for terminally ill patients, and improve patients' quality of life.

Key words: Life-Sustaining Treatments; advanced; cancer; qualitative research

CLC Number: R47；R197

JIAO Jie, ZHANG Jie, NIAN Weiyan, LUO Zhiqin. Reasons for refusing or accepting Life-Sustaining Treatments in patients with advanced cancer: a qualitative study[J].Chinese Nursing Management, 2022, 22(11): 1649-1653.

[1]	. [J]. , 2003, 3(1): .
[2]	. [J]. , 2003, 3(1): .
[3]	. [J]. , 2003, 3(1): .
[4]	. [J]. , 2003, 3(1): .
[5]	. [J]. , 2003, 3(1): .
[6]	. Arranging Nursing Manpower Reasonably to Guarantee the Quality of Nursing Care[J]. , 2003, 3(1): .
[7]	. [J]. , 2003, 3(1): .
[8]	. [J]. , 2003, 3(2): .
[9]	. [J]. , 2003, 3(2): .
[10]	. [J]. , 2003, 3(2): .

[1]	ZHANG Hongmei, ZHAO Wenli, LI Jiake, PENG Huizhen, GUO Yaru, DING Nannan. Research progress of venous blood specimen collection in elderly patients [J]. Chinese Nursing Management, 2023, 23(3): 321-325.
[2]	LUO Jinkai, MAO Wenping, WANG Lulu, ZHANG Jie. Safety evaluation and cost-benefit analysis of the manual and intelligent venous blood sampling in outpatient department [J]. Chinese Nursing Management, 2023, 23(3): 326-330.
[3]	SHI Caixiao, SUN Yuyan, QI Qianqian, WU Hongyan, ZHAO Yueyue, DONG Fengmei, GE Yanjun, WANG Jianli, ZHANG Yaodong, MAO Ziwen, LI Mengyao. Application of nursing intervention based on the concept of healing environment in outpatient children undergoing venous blood collection [J]. Chinese Nursing Management, 2023, 23(3): 331-335.
[4]	YANG Minfei, YAO Xiaoyue, ZHANG Lanlan, WU Aina, XU Mengyun, TANG Huqiang, CHEN Keqing, JIN Jingfen. Practice of information management of the whole process of blood sampling in emergency department [J]. Chinese Nursing Management, 2023, 23(3): 336-340.
[5]	MA Xiaoxiao, CHEN Guoxia, SUN Wenxi, LI Yuhui, GUO Renxiu, SHANG Yan, GUAN Xin, LIU Li, PANG Ying, LU Yuhan. Reliability and validity of the Chinese version of Bereavement Risk Assessment Tool [J]. Chinese Nursing Management, 2023, 23(3): 340-345.
[6]	WEI Lili, WANG Yi, CHEN Yan, YU Ping, CHEN Qi, OU Tongwen. Construction of management plan for lower extremity Deep Vein Thrombosis in renal transplant patients [J]. Chinese Nursing Management, 2023, 23(3): 346-351.
[7]	YANG Xiaorong, JIANG Weilian, QIN Fang, LI Chunjian, ZENG Honghua. Barriers of weight management in re-pregnant women with Gestational Diabetes Mellitus and overweight pre-conception [J]. Chinese Nursing Management, 2023, 23(3): 351-355.
[8]	ZHANG Ruifang, GONG Yueli, LI Ting, DU Jie, WU Chao, CHEN Jing. Design and application of a checklist for neonatal indwelling tracheal intubation [J]. Chinese Nursing Management, 2023, 23(3): 356-362.
[9]	GU Chunjie, XU Fangxia, ZHAO Zongxue, ZHAO Lijin, GU Xiaoying, DUAN Yi, LIU Jiangqin. Establishment and verification of a prediction model for neonatal hypothermia in intra-hospital transportation [J]. Chinese Nursing Management, 2023, 23(3): 362-368.
[10]	XIE Hua, ZHOU Yifeng, LI Jun, ZHANG Yongjun. Status and influencing factors of self-efficacy of pressure injury management among nurses in operating rooms [J]. Chinese Nursing Management, 2023, 23(3): 369-373.
[11]	WU Taofeng, JIANG Ling, SHEN Ping, CHEN Jingfang, GU Qin, FANG Xiaolan. Evidence-based practice and effect evaluation of diet management in patients with Maintenance Hemodialysis during hemodialysis [J]. Chinese Nursing Management, 2023, 23(3): 374-379.
[12]	GONG Xuanyu, SONG Tiantian, LI Feifei, LIU Cailing, ZHANG Shanhong. Construction and validation of a risk prediction model for demoralization syndrome in cancer patients [J]. Chinese Nursing Management, 2023, 23(3): 380-385.
[13]	ZHANG Yongli, HU Xiaoyan, CHEN Ling, ZHAO Ling, YAN Peipei. A longitudinal study on the Fear of Progression and its influencing factors in patients with cervical cancer [J]. Chinese Nursing Management, 2023, 23(3): 386-392.
[14]	WEI Lanzhi, LUO Caifeng, LU Xingxing, FANG Xiumin. Relationship between symptoms and unmet needs in postoperative chemotherapy patients with gastric cancer: based on latent profile analysis [J]. Chinese Nursing Management, 2023, 23(3): 392-398.
[15]	LIU Jiahui, HU Meihua, DENG Shijia, QI Yi, LI Xuying, ZHANG Qinghui, LI Jinhua. Evidence summary for the assessment of risk for Chemotherapy-Induced Nausea and Vomiting [J]. Chinese Nursing Management, 2023, 23(3): 399-404.

Reasons for refusing or accepting Life-Sustaining Treatments in patients with advanced cancer: a qualitative study

PDF (PC)

Like

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 10