Dissertation > Excellent graduate degree dissertation topics show

Select tendency survey on palliative support and hospice

Author: ZhouTian
Tutor: ZhangPeiTong
School: Beijing University of Traditional Chinese Medicine
Course: Integrative Oncology
Keywords: Tumor In the late Tolerate Hospice Care Select Tendency Influencing factors
CLC: R48
Type: Master's thesis
Year: 2010
Downloads: 191
Quote: 1
Read: Download Dissertation

Abstract

The purpose of understanding in advanced cancer patients, primary caregivers, and healthcare professionals on palliative support and hospice care tend to favor the similarities and differences. Methods questionnaire, late in oncology outpatient and inpatient department of the China Academy of Traditional Chinese Medicine, Guang An Men Hospital (tertiary level) and Pu Xiang, Beijing Traditional Chinese Medicine Cancer Hospital (Second Class) August 2009 - December 2009 cancer patients (Ⅲ b period, part of the tumor Ⅲ c period, Ⅳ period) 140, 141 in advanced cancer patients, caregivers, and health care workers 108 investigation. Questionnaire design reference to the large number of foreign literature and expert advice, and after many revisions based on the preliminary survey. The questionnaire included basic personal information, patient diagnosis, prior treatment and evaluation, quality of life and emotional evaluation questionnaire given in a case (The case according to hospice definitions and standards should stop actively offensive treatment given to Hospice) first surveyed pointed out that the size of the side effects of a treatment program, the degree of tumor size and prolonged survival time and economic pressures size four order of importance, followed by 16 combinations of these four areas listed, surveyed are elected acceptable solution portfolio and to elect which prolonged survival time worthy choice for this program, please accept next survey were given general judge whether the patient should choose palliative and hospice program, last given in detail aspects may influence the choice of factors, the same problem re-survey respondents indicate that the choice tendency (0-7 indexing, 0 means very should choose palliative and hospice, 7 representatives completely should not be selected). Is \Sort of comparison result, a side effect of the size of the tumor size extent lifetime ting for a long time and economic pressures size four factors of importance in the size of the side effects of the treatment program, the degree of tumor size and prolonged survival time and economic pressures included four important sorted, each group agreed to survival prolongation first place. Outpatient family than to pay more attention to the families of the hospitalized patients in prolonged survival after three tumor size extent and economic pressure to the relative neglect of the side effects size. Doctors compared to the other five groups, the primary factors except prolong survival after second treatment side effects, economic pressure, the degree of tumor size to be the last one. Other groups the economic pressure the last consideration. 2 Quad over 16 combinations of the factors in hospitalized patients with a variety of treatment options is higher than outpatient extend the survival of the treatment was lower as expected, there is no significant difference between the family members. The idea of ??patients and their families are substantially more unified. Not too large difference between the medical staff, doctors in individual survival of several programs to extend the expected short compared with nurses. Between patients and doctors, as well as family members and doctors were significantly different. Regardless of the families of hospitalized patients suffering from support and hospice programs rough select group of objects select the lowest rate of 37.9%; outpatient families of the highest, at 59.3%; an average of less than half; 9 twenty-two (op. cit.) shows that among the groups less obvious difference of opinion between outpatients' families and the families of hospitalized patients only difference was statistically significant (P = 0.000) .4 choose attitude means comparison (0-7 degrees) in rough select among the groups opinion differences are not significant, but further given the choice of a variety of real-life details may appear very influential factors, the difference to be reflected. It also reflects the complexity of this choice. 5 survey from rough choose to meticulous attitude change except outpatient \when lowering, all have significant difference before and after are meticulous selection rate in rough choice. Conclusion a side effect of the size, extent of tumor size, prolonged survival time and economic pressure on the size of the four factors accounting for the most important position to extend sorted by degree of importance in survival. Outpatient extent and economic pressure to pay more attention to the tumor size and relative neglect of the side effects of the size of families than the families of hospitalized patients. The doctors pay more attention to the side effects of treatment, and also taking into account the earlier treatment to patients and their families to bring economic pressure, and the degree of tumor size came in last. Other economic pressure on the final considerations by up to .2 four factors and 16 combinations of comparison in hospitalized patients seeking treatment wishes are more intense than outpatient, extended survival period of treatment brought the expected but lower, between family members is no obvious difference. Unified thoughts of patients and their families in general, only hospitalized patients compared to their families, the longer receiving a treatment program to extend the lifetime of the conditions on the individual items reflect the families of outpatients longer survival than patients themselves high expectations, but rather ignore the side effects of increased size and mass, as long as the prolonged survival like. Not too large difference between the medical staff, doctors in individual survival of several programs to extend the expected short compared with nurses. Between patients and doctors, as well as family members and doctors were significantly different. You can see, almost on the programs, on the one hand, the doctor's treatment options rate than patients and their families, doctors almost on the enthusiasm of the various treatments are higher, on the other hand, the lifetime of the doctors for the program optional expectations are significantly below the expectations of patients and their families. The 3 palliative support and hospice programs rough choose to compare each group is generally not high acceptance for palliative and hospice. 4 Select the attitude means comparison (O-7 index) the most unified views of hospitalized patients and their families, which may, and they have more time to spend, and good communication between. Twenty-two comparisons press Select mean significant differences in the item number from less to more than is outpatient - doctors, outpatient care by - doctors, inpatient - outpatient, doctors - nurses, hospitalized patients - doctors, inpatient care by - doctors, outpatient - outpatient care, tend to favor the biggest difference is the inpatient care - outpatient care. From the point of view of the influencing factors, given various influencing factors, the same support of palliative and hospice patients tend to favor longer like a rough choice so consistent, different roles people can be differences of view on this issue fully reflected. The differences are widespread, especially in patients and other important relationship (spouse, children, parents and doctors) estranged or trust issues, different groups of people tend to favor differences most pronounced with are .5 each group surveyed choose from rough first choice of palliative support and hospice a doping factors to the careful choice of attitude change, the thoughts and attitudes of the same person is not stable, specific to many different conditions will change; first palliative support and hospice, we seem to have an instinctive resistance to, due to the questionnaire rough is very suddenly directly put forward and asked the attitude, the choice of the moment almost intuitive, everyone's instinct is universal this after a program is not enthusiastic, but in further consideration of the various details of the factors and conditions, the selection rate improved significantly, in the middle there is a denial, resentment, rejection \.

Select tendency survey on palliative support and hospice

Abstract

Related Dissertations