The Investigation Of Cognitive Of Cancer Patients On Advance Directives

Background: Along with the traditional Chinese medical model of transformation theemergence of the humanistic medicine,the development of palliative medicine and hospice,people-oriented, respect terminal of the patient of life, and the rights and dignity, the quality oflife of the concept of the number above life gradually got the attention of people, The quality andindependence of patients became more and more attention by people, the development ofadvance directives in China cultural background and medical environment became the morepractical.Objective (1) Survey the cognitive and accept degree of cancer patients on advancedirectives;2Analysis general demographic data, disease status and health level of cancerpatients, the cognitive of cancer patients on advance directives to choose the influence ofadvance directives.Methods:Purposive sampling was applied to recruit130cases of cancer inpatients in acancer hospital in shanxi and the first affiliated hospital of Shanxi medical university in2011from June to December, by questionnaire and interviews to survey the cognitive and acceptdegree of cancer patients on advance directives èanalysis general demographic data, diseasestatus and health of level of cancer patients,the cognitive of cancer patients on advancedirectives to choose the influence of advance directives.Results: Investigation shows that can accept advance directives of70.8%, Can't acceptadvance directives of29.2%,(1) In the general demographic,through the non-parameter test,whether or not agree to accept advance directives with age, sex, marital status, occupation, faithwithout relevance P>0.05, whether or not agree to accept advance directives and education inadvance is connected P<0.05.(2) In the disease status and health level, through thenon-parameter test,whether or not to accept advance directives and sick time, whether or nothave complications, the severity of the illness of the degree, whether or not have pain experience,EQ5Dscale score, EQ5D-VAS scale score is connected P<0.05.(3) Cognitive conditioninvestigation of advance directives, through the non-parameter test, Whether can accept advancedirectives with medical decision, in a decision to do medical decision-making, who is the mostimportant, and the opinions of the whether there is the critically ill exposure to illness but irreversible, or in patients with advanced disease, whether they should take symptomatictreatment, emphasize the ease pain, whether it should be give up some treatment, about hisillness but irreversible or in patients with advanced disease is quality of life important or survivaltime in this survey is an important,before this survey, whether heard advance directives,livingwills, durable power of attorney is connected P<0.05.Before this survey, heard of advancedirectives, can accept advance directives of85.3%, can't accept advance directives of14.7%, notheard of advance directives, can accept advance directives of65.1%, can't accept advancedirectives of34.9%. Before this survey,heard of living wills, can accept advance directives of85.0%, can't accept advance directives of15.0%, in has not heard of living wills, can acceptadvance directives of63.8%, can't accept advance directives of36.3%. Before this survey, heardof durable power of attorney, can accept advance directives of87.1%, can't accept advancedirectives of12.9%, in has not heard of durable power of attorney, can accept advance directivesof65.2%, can't accept advance directives of34.8%.4The Logistic regression analysis is havecomplications, sick time, the severity of the illness of the degree, EQ5D-VAS scale score, abouthis illness but irreversible critically ill patients, whether should take symptomatic treatment,emphasize the ease the pain is whether can accept advance directives of the influence factors.Conclusion:(1)The factors of accepting advance directives are various,both cancer patientsgenerally demographic material, cancer patients with disease status health level, and thecognitive of advance directives on cancer patients.(2) In people of easy to accept advancedirectives, think in medical decision, it should make a decision by yourself, and think in theadvanced state of disease, should give up some treatment, patients with ease the pain andimprove the life quality of patients;(3)The understanding of advance directives on cancerpatients more less.