计划行为理论下晚期癌症患者与家属维持生命治疗偏好一致性研究

Study on the consistency of life sustaining treatment preferences between patients with advanced cancer and their families under the theory of planned behavior

摘要:

<正>国家癌症中心数据[1-2]显示，我国每年癌症新发病例超过406万，死亡超过241万，癌症发病率和病死率呈上升趋势。癌症终末期患者及家属常面临临终维持生命治疗（life-sustaining treatment, LST）决策困境。由于患者临终阶段常丧失决策能力，家属被迫代理决策。在此背景下，患者决策偏好不明，代理决策者面临伦理困境和决策冲突，患者可能接受违背其意愿的医疗措施，生命尊严受损，死亡质量下降，家属则易遭遇决策后悔[3]。

Abstract:

According to the data [1-2] of the National Cancer Center, China has more than 4.06 million new cancer cases and 2.41 million deaths every year, and the incidence rate and mortality of cancer are on the rise. Terminal cancer patients and their families often face decision-making difficulties in end-of-life life sustaining treatment (LST). Due to the frequent loss of decision-making ability in the terminal stage of patients, family members are forced to make decisions on their behalf. In this context, patients' decision-making preferences are unclear, and proxy decision-makers face ethical dilemmas and decision-making conflicts. Patients may accept medical measures that go against their will, resulting in a loss of life dignity, a decrease in the quality of death, and family members are prone to decision regret.