Advanced cancer;
family;
decision-making;
self-efficacy;
end-of-life;
advanced care planning;
INVOLVEMENT;
D O I:
10.1017/S1478951524000658
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. In Chinese culture, family members are the main decision maker on end-of-life (EoL) issues for patients with advanced cancer. Yet little is known about Chinese families' confidence in making EoL decisions and its associated factors. This study aims to investigate the status and associated factors of Chinese family members' confidence in making EoL decisions for patients with advanced cancer. Methods. This cross-sectional study used a convenience sample of 147 family members of patients with stage III or stage IV cancer from a tertiary cancer center in Guangzhou, China. The questionnaires included demographic information of patients and their family members, patients' EoL preferences, and the Chinese version of the Family Decision-Making Self-Efficacy (FDMSE) Scale. Results. A total of145 family members (98.64%) completed the questionnaires. The average score of FDMSE was 3.92 0.53. A multiple regression analysis showed that the factors associated with FDMSE included patients' duration of disease, health insurance, participation in EoL decision-making, the expression of unfilled wishes, and family members' employment status. Significance of results. Chinese family members were not confident enough in making EoL decisions for patients with advanced cancer. It is recommended to develop cultural-tailored advanced care planning models to clarify patient preferences and to enhance the family members' self-efficacy in making EoL decisions with or for patients with advanced cancer.
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页码:1317 / 1323
页数:7
相关论文
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Southeast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
Chen, Chuqian
Du, Lina
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Nanjing Med Univ, Affiliated Hosp 1, Dept Propaganda & United Fronts, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
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Cheng, Guobin
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Jin, Yanyan
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h-index: 0
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Nanjing Med Univ, Affiliated Hosp 1, Off Social Work, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
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Au, Doreen
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
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Ip, Anthony H. F.
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chan, Jenny
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
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Tai Po Hosp, Dept Med & Geriatr, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Lee, Jenny
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Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Lo, Raymond
Woo, Jean
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Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
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Hualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, TaiwanHualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, Taiwan
Chiang, Fu-Ming
Wang, Ying-Wei
论文数: 0引用数: 0
h-index: 0
机构:
Hualien Tzu Chi Hosp, Dept Family Med, Buddhist Tzu Chi Med Fdn, Hualien 97002, Taiwan
Tzu Chi Univ, Sch Med, Dept Med Humanities, Hualien 97002, TaiwanHualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, Taiwan
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La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Danielle Pina-Escudero, Stefanie
De Jesus Garcia-Aviles, Roberto
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Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
De Jesus Garcia-Aviles, Roberto
Ivan Fajardo-Juarez, Armando
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La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
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Urtiz Lopez, Cesar
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h-index: 0
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Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Urtiz Lopez, Cesar
Karene Del Moral-Trejo, Ana
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h-index: 0
机构:
La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Karene Del Moral-Trejo, Ana
Manuel Ramirez-Ambriz, Pedro
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h-index: 0
机构:
Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Manuel Ramirez-Ambriz, Pedro
Tovar-Serrano, Alejandro
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h-index: 0
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Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Tovar-Serrano, Alejandro
Miguel Antonio, Garcia-Lara Juan
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h-index: 0
机构:
Natl Inst Med Sci & Nutr Salvador Zubiran, Geriatr Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
机构:
Southeast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
Chen, Chuqian
Du, Lina
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h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Propaganda & United Fronts, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
Du, Lina
Cheng, Guobin
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h-index: 0
机构:
Southeast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
Cheng, Guobin
Jin, Yanyan
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Off Social Work, Nanjing, Peoples R ChinaSoutheast Univ, Sch Humanities, Dept Med Humanities, Nanjing, Peoples R China
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Cheung, Johnny T. K.
Au, Doreen
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h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Au, Doreen
Ip, Anthony H. F.
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h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Ip, Anthony H. F.
Chan, Jenny
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h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chan, Jenny
Ng, Kenway
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h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Ng, Kenway
Cheung, Lok
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Cheung, Lok
Yuen, Jacqueline
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Yuen, Jacqueline
Hui, Elsie
论文数: 0引用数: 0
h-index: 0
机构:
Shatin Hosp, Dept Med & Geriatr, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Hui, Elsie
Lee, Jenny
论文数: 0引用数: 0
h-index: 0
机构:
Tai Po Hosp, Dept Med & Geriatr, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Lee, Jenny
Lo, Raymond
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Lo, Raymond
Woo, Jean
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Inst Ageing, Hong Kong, Peoples R China
机构:
Hualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, TaiwanHualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, Taiwan
Chiang, Fu-Ming
Wang, Ying-Wei
论文数: 0引用数: 0
h-index: 0
机构:
Hualien Tzu Chi Hosp, Dept Family Med, Buddhist Tzu Chi Med Fdn, Hualien 97002, Taiwan
Tzu Chi Univ, Sch Med, Dept Med Humanities, Hualien 97002, TaiwanHualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien 97002, Taiwan
机构:
La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Danielle Pina-Escudero, Stefanie
De Jesus Garcia-Aviles, Roberto
论文数: 0引用数: 0
h-index: 0
机构:
Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
De Jesus Garcia-Aviles, Roberto
Ivan Fajardo-Juarez, Armando
论文数: 0引用数: 0
h-index: 0
机构:
La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Ivan Fajardo-Juarez, Armando
Urtiz Lopez, Cesar
论文数: 0引用数: 0
h-index: 0
机构:
Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Urtiz Lopez, Cesar
Karene Del Moral-Trejo, Ana
论文数: 0引用数: 0
h-index: 0
机构:
La Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Karene Del Moral-Trejo, Ana
Manuel Ramirez-Ambriz, Pedro
论文数: 0引用数: 0
h-index: 0
机构:
Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Manuel Ramirez-Ambriz, Pedro
Tovar-Serrano, Alejandro
论文数: 0引用数: 0
h-index: 0
机构:
Nuevo Sanatorio Durango, Internal Med Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico
Tovar-Serrano, Alejandro
Miguel Antonio, Garcia-Lara Juan
论文数: 0引用数: 0
h-index: 0
机构:
Natl Inst Med Sci & Nutr Salvador Zubiran, Geriatr Dept, Mexico City, DF, MexicoLa Salle Univ, Mexican Fac Med, Fuentes 17 Colonia Tlalpan, Mexico City 14000, DF, Mexico