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

共 20 条

[11] Doctor-Patient Communication about Advance Directives in Metastatic Breast Cancer
Ozanne, Elissa M.
Partridge, Ann
Moy, Beverly
Ellis, Katherine J.
Sepucha, Karen R.
[J]. JOURNAL OF PALLIATIVE MEDICINE, 2009, 12 (06) : 547 - 553
[12] Pace B., 2000, JAMA, V284, P2550, DOI [10.1001/jama.284.19.2550, DOI 10.1001/JAMA.284.19.2550]
[13] Factors influencing views of patients with gynecologic cancer about end-of-life decisions
Roberts, JA
Brown, D
Elkins, T
Larson, DB
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 176 (01) : 166 - 172
[14] What are cancer patients' preferences about treatment at the end of life, and who should start talking about it? A comparison with healthy people and medical staff
Sahm, S
Will, R
Hommel, G
[J]. SUPPORTIVE CARE IN CANCER, 2005, 13 (04) : 206 - 214
[15] Smucker W D, 1993, J Am Board Fam Pract, V6, P473
[16] Factors considered important at the end of life by patients, family, physicians, and other care providers
Steinhauser, AE
Christakis, NA
Clipp, EC
McNeilly, M
McIntyre, L
Tulsky, JA
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (19): : 2476 - 2482
[17] Preparing for the end of life: Preferences of patients, families, physicians, and other care providers
Steinhauser, KE
Christakis, NA
Clipp, EC
McNeilly, M
Grambow, S
Parker, J
Tulsky, JA
[J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2001, 22 (03) : 727 - 737
[18] Role of written advance directives in decisionmaking - Insights from qualitative and quantitative data
Teno, JM
Stevens, M
Spernak, S
Lynn, J
[J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 1998, 13 (07) : 439 - 446
[19] Decision-making and outcomes of prolonged ICU stays in seriously ill patients
Teno, JM
Fisher, E
Hamel, MB
Wu, AW
Murphy, DJ
Wenger, NS
Lynn, J
Harrell, FE
[J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (05) : S70 - S74
[20] The effect of discussions about advance directives on patients' satisfaction with primary care
Tierney W.M.
Dexter P.R.
Gramelspacher G.P.
Perkins A.J.
Zhou X.-H.
Wolinsky F.D.
[J]. Journal of General Internal Medicine, 2001, 16 (1) : 32 - 40

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