Room for improvement: An examination of advance care planning documentation among gynecologic oncology patients
Room for improvement: An examination of advance care planning documentation among gynecologic oncology patients
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DOI：
10.1016/j.ygyno.2016.07.010
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发表时间：
2016-09-01
影响因子：
4.7
通讯作者：
Bodurka, Diane C.
中科院分区：
文献类型：
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作者：
Brown, Alaina J.;Shen, Megan Johnson;Bodurka, Diane C.
目标。本研究的目的是：(1)评估妇科肿瘤患者对预先指示的了解程度和预先指示的完成率；(2)探讨死亡焦虑、疾病症状负担和患者启动预先指示之间的关系。对110例妇科肿瘤患者的预嘱知识及完成情况进行了调查。患者还完成了MD安德森症状量表（MDASI）和Templer死亡焦虑量表（DAS）。描述性统计被用来检验样本的特征。使用Fisher精确检验和2样本t检验来检验关键变量之间的关联。多数患者为白人（76.4%），并有卵巢癌（46.4%）或子宫癌（34.6%）。近一半（47.0%）有复发性疾病。大多数患者（75%）听说过预先指示。只有49%的人完成了生前遗嘱或医疗委托书。老年患者和受教育程度较高的患者更有可能完成预先指示(p
Objectives. The goals of this study were: (1) to evaluate patients' knowledge regarding advance directives and completion rates of advance directives among gynecologic oncology patients and (2) to examine the association between death anxiety, disease symptom burden, and patient initiation of advance directives.Methods. 110 gynecologic cancer patients were surveyed regarding their knowledge and completion of advance directives. Patients also completed the MD Anderson Symptom Inventory (MDASI) scale and Templer's Death Anxiety Scale (DAS). Descriptive statistics were utilized to examine characteristics of the sample. Fisher's exact tests and 2-sample t-tests were utilized to examine associations between key variables.Results. Most patients were white (76.4%) and had ovarian (46.4%) or uterine cancer (34.6%). Nearly half (47.0%) had recurrent disease. The majority of patients had heard about advance directives (75%). Only 49% had completed a living will or medical power of attorney. Older patients and those with a higher level of education were more likely to have completed an advance directive (p