晚期癌症患者对死亡风险的感知：一项定性定向内容分析。
Perceived risk of death among patients with advanced cancer: a qualitative directed content analysis.
机构信息
School of Nursing, Fujian Medical University, Fujian, China.
Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.
出版信息
BMC Palliat Care. 2024 Nov 1;23(1):252. doi: 10.1186/s12904-024-01584-3.
BACKGROUND
Risk perception with respect to death is a prerequisite for patients with advanced cancer when the time comes to make medical decisions. However, the nature of death risk perception remains unclear.
METHOD
In-depth interviews were conducted with 28 patients with advanced cancer who were recruited from two hospitals and one home-based hospice in Fujian, China. Interviews were transcribed and directed content analysis applied. The Tripartite Model of Risk Perception was used as a theoretical framework.
RESULTS
Patients with advanced cancer perceived their risk of death in different ways. Professional communication about death risk and data-driven risk perception were common in clinical settings. Affective influences, inherent cognition, and comparisons to others or oneself also contributed to the subjects' self-perceived death risk.
CONCLUSION
This theory-informed qualitative study clarifies the nature of the perceived risk of death among patients with advanced cancer. The study findings offer healthcare providers a more nuanced understanding of the perceived risk of death among patients with advanced cancer.
背景
当患有晚期癌症的患者需要做出医疗决策时，对死亡风险的感知是一个前提。然而，死亡风险感知的性质仍不清楚。
方法
对来自中国福建的两家医院和一家居家临终关怀机构的 28 名晚期癌症患者进行了深入访谈。访谈内容被转录下来，并应用了定向内容分析。三重风险感知模型被用作理论框架。
结果
晚期癌症患者以不同的方式感知他们的死亡风险。关于死亡风险的专业沟通和数据驱动的风险感知在临床环境中很常见。情感影响、内在认知以及与他人或自己的比较也会影响患者对自身死亡风险的感知。
结论
这项基于理论的定性研究阐明了晚期癌症患者感知死亡风险的本质。研究结果为医疗保健提供者提供了对晚期癌症患者感知死亡风险的更细致的理解。
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