晚期癌症患者接受姑息治疗的意愿及其决定因素：坦桑尼亚北部的一项横断面研究。

Willingness of advanced cancer patients to receive palliative care and its determinants: A cross-sectional study in Northern Tanzania.

机构信息

Xiangya School of Nursing, Central South University, Changsha City, Hunan Province, People's Republic of China.

Department of Nursing, Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania.

出版信息

PLoS One. 2023 Oct 5;18(10):e0290377. doi: 10.1371/journal.pone.0290377. eCollection 2023.

DOI:10.1371/journal.pone.0290377

PMID:37796779

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10553290/

Abstract

BACKGROUND

The purpose of this study was to assess willingness of advanced cancer patients to receive palliative care and its determinants at Cancer Care Centre in Kilimanjaro Christian Medical Centre Northern Tanzania.

OBJECTIVE

METHODS

This was an institution-based cross-sectional study and the target population was all advanced cancer patients attending care at Cancer care Centre in Northern Tanzania. Data was collected using a structured questionnaire and analysed using Stata for windows 15. A descriptive analysis was conducted to summarize the data using mean standard deviation, while categorical data was summarized using frequency and percentages. Both bivariate and multivariate logistic regression analysis was used to determine the predictors associated with willingness to receive palliative care.

RESULTS

The results showed that more than half of the respondents had willingness to accept palliative care. The degree of willingness PC among advanced cancer patients was high 60.6% (95%CI: 55.8-65.3). The predictors which remained significant associated with willingness to receive palliative care in multivariate analysis were the knowledgeable of palliative care [AOR: 2.86; 95%CI: 1.69-4.85] and high perceived benefits of palliative care [AOR: 3.58; 95%CI: 2.12-6.04].

CONCLUSION

Willingness to accept palliative care services was more than half of the patients just 60.6% among patients with advanced cancer from the study site. Advanced age of a patient, occupations, better knowledge, and perceived benefits for palliative care was the significant predictor for patients' willingness to accept palliative care.

摘要

背景

本研究旨在评估坦桑尼亚北部基督复临安息日会医疗中心癌症护理中心的晚期癌症患者接受姑息治疗的意愿及其决定因素。

目的

本研究旨在评估坦桑尼亚北部基督复临安息日会医疗中心癌症护理中心的晚期癌症患者接受姑息治疗的意愿及其决定因素。

方法

这是一项基于机构的横断面研究，目标人群是所有在坦桑尼亚北部癌症护理中心接受护理的晚期癌症患者。数据收集使用结构化问卷，并使用 Stata for windows 15 进行分析。使用描述性分析通过平均值和标准差总结数据，而分类数据通过频率和百分比进行总结。使用单变量和多变量逻辑回归分析来确定与接受姑息治疗意愿相关的预测因素。

结果

结果表明，超过一半的受访者愿意接受姑息治疗。晚期癌症患者对姑息治疗的意愿程度较高，为 60.6%（95%CI：55.8-65.3）。多变量分析中与接受姑息治疗意愿相关的显著预测因素包括对姑息治疗的了解[OR：2.86；95%CI：1.69-4.85]和对姑息治疗的高感知益处[OR：3.58；95%CI：2.12-6.04]。