老年肝癌患者生前预嘱知信行现状及影响因素分析

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Abstract Objective To understand the current situation of knowledge, attitude, and practice of elderly liver cancer patients’s living will and to analyze its influencing factors to provide a theoretical basis for improving the quality of life of elderly liver cancer patients. Methods A questionnaire survey of 270 elderly liver cancer patients the First Affiliated Hospital of Nanjing Medical University was conducted from January to December 2020 by using convenience sampling method, and multiple linear regression was used to analyze the influencing factors of elderly liver cancer patients’ living will. Results In this study, a total of 270 questionnaires were distributed, and 245 valid questionnaires were returned. The effective response rate was 90.74%. There were statistically significant differences in the knowledge, attitude, and practice scores of elderly liver cancer patients with different pensions, medical insurance, religious beliefs, family status, children’s communication frequency, and self-evaluated health status (P ＜ 0.05). Elderly patients with liver cancer had a total score of knowledge, attitude, and practice of(78.52±7.41) points, and a total score of death anxiety (7.50±2.03) points. The total score of living will was negatively correlated with death anxiety (r = -0.13, P ＜ 0.05). The results of multiple linear regression showed that the pensions, medical insurance, religious beliefs, frequency of communication with children, self-assessed health status, and death anxiety were independent influencing factors of the living will of elderly liver cancer patients (P ＜ 0.05), which can explain 21.7% of the total variation. Conclusion Elderly patients with liver cancer have a low level of knowledge, attitude, and practice. Improving the social security system, strengthening parent-child communication between the elderly and easing death anxiety is conducive to the implementation of living will.

Key words： Elderly Liver cancer Living will Death anxiety Influencing factors

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	GUO Yun WU Jindao WANG Hongxia

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GUO Yun WU Jindao WANG Hongxia. Analysis of the current situation and influencing factors of knowledge, attitude, and practice of living will in elderly patients with liver cancer#br#[J]. 中国医药导报, 2021, 18(36): 69-72.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I36/69

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