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目的:探索晚期肿瘤患者文化程度对死亡态度的接受程度和排斥态度,为临床实践提供参考。方法:选取我院于2014年8月至2015年10月间收治的180例晚期肿瘤患者作为临床研究对象,采用死亡态度描绘修订量表(DAP-R),对158例问卷合格患者的文化程度、死亡态度(接受态度和排斥态度)等进行调查分析。结果:经统计和meta分析发现,158例患者中男性患者93例,其中接受死亡人数78例,占60.0%,排斥死亡人数15例,占53.57%,女性患者65例,其中接受死亡人数52例,占40.0%,排斥死亡人数13例,占46.43%。小学及以下患者接受死亡人数53例,占42.74%,排斥死亡人数18例,占52.94%,初高中文化程度患者接受死亡人数27例,占21.77%,排斥死亡人数7例,占20.59%,大专及以上文化程度患者接受死亡人数44例,占35.48%,排斥死亡人数9例,占26.47%,三组差异显著(P<0.05),具有统计学意义。结论:文化程度对晚期肿瘤患者的死亡态度具有紧密的关系,文化程度越高对死亡的接受态度越高,临床护理用给予文化程度较低的晚期癌症患者更多关怀,同时强化对患者家属的死亡教育,改善患者心理状态。
Objective: To explore the acceptability and exclusion attitude towards the attitude toward death of patients with advanced cancer and to provide reference for clinical practice. Methods: One hundred and eighty patients with advanced cancer who were treated in our hospital from August 2014 to October 2015 were selected as the clinical study subjects. The attitude of death was used to describe the revised scale (DAP-R). The educational level of 158 eligible patients , Attitude towards death (acceptance attitude and exclusion attitude) and so on. Results: Statistic and meta-analysis found that among the 158 patients, 93 were male patients, of which 78 received 60% of the deaths, 15 were excluded, accounting for 53.57%, and 65 were female patients, of whom 52 were fatal , Accounting for 40.0%, excluding 13 deaths, accounting for 46.43%. The number of deaths from primary school and below patients was 53 (42.74%) and exclusion of deaths (18 cases), accounting for 52.94%. The number of deaths from primary and secondary school education was 27 (21.77%) and the number of deaths from rejection was 7 (20.59% There were 44 death cases (35.48%) and 9 deaths (26.47%), the difference was significant among the three groups (P <0.05). Conclusion: The educational level is closely related to the death attitude of patients with advanced cancer. The higher the education level is, the higher the attitude toward death is. The higher the degree of education is, the more nursing care is given to patients with advanced cancer with lower educational level. At the same time, Death education to improve the patient’s psychological status.