Importance and Timing of End-of-Life Care Discussions Among Gynecologic Oncology Patients

被引：18

作者：

Diaz-Montes, Teresa P. ^{[1
]}

Johnson, Megan K. ^{[2
]}

Giuntoli, Robert L., II ^{[1
]}

Brown, Alaina J. ^{[1
]}

机构：

[1] Johns Hopkins Med Inst, Kelly Gynecol Oncol Serv, Dept Gynecol & Obstet, Baltimore, MD 21287 USA

[2] Baylor Univ, Dept Psychol & Neurosci, Waco, TX 76798 USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2013年 / 30卷 / 01期

关键词：

end-of-life care; gynecologic oncology; advanced directives; palliative care; hospice; DNR/DNI; SERIOUSLY ILL PATIENTS; ADVANCE DIRECTIVES; DECISION-MAKING; FAMILY-MEMBERS; CANCER; PREFERENCES; COMMUNICATION; SATISFACTION; PHYSICIANS; VIEWS;

D O I：

10.1177/1049909112444156

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objectives: To assess the importance and desired timing of end-of-life care (EOLC) discussions among women with gynecologic cancer. Methods: A questionnaire related to EOLC issues was distributed to patients with gynecologic cancer. Answers were analyzed via SPSS using descriptive statistics. Contingency analysis was done to evaluate for differences among disease status and age regarding preferences for timing of discussions. Results: Patients expressed that addressing EOLC is an important part of their treatment. Most patients were familiar with advanced directives (73.0%), do not resuscitate/do not intubate (88.5%), and hospice (97.5%). Designating someone to make decisions was significantly related to disease status (P=.03) and age (P=0.02). Conclusions: Patients are familiar with basic EOLC with optimal timing for discussions at disease progression or when treatment is no longer available.

引用

页码：59 / 67

页数：9

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