Volume 19 Issue 10
Oct.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(10): 1764-1767, 1771
SHAO Qiu-yue, WANG You-qing, YU Xin-yan, XIE Shu-ping, HAN Na. Investigation and analysis on the attitude and behaviour intention of medical staff in cancer hospital to advance care planning[J]. Chinese Journal of General Practice, 2021, 19(10): 1764-1767, 1771. doi: 10.16766/j.cnki.issn.1674-4152.002162
Citation: SHAO Qiu-yue, WANG You-qing, YU Xin-yan, XIE Shu-ping, HAN Na. Investigation and analysis on the attitude and behaviour intention of medical staff in cancer hospital to advance care planning[J]. Chinese Journal of General Practice, 2021, 19(10): 1764-1767, 1771. doi: 10.16766/j.cnki.issn.1674-4152.002162
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Investigation and analysis on the attitude and behaviour intention of medical staff in cancer hospital to advance care planning

doi: 10.16766/j.cnki.issn.1674-4152.002162

  • Department of Thoracic Medicine 113 Ward, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang 310022, China

Funds:

 2021RC044

  • Received Date: 2021-01-08
    Available Online: 2022-02-15
    Abstract
  •   Objective  To investigate the attitudes and behavioural intentions of medical staff in a specialised cancer hospital in Zhejiang Province towards advance care planning (ACP) in order to provide reference for the relevant work in the field of palliative care.  Methods  A random sampling method was used to investigate 520 medical staff in a specialised cancer hospital in Zhejiang Province from August to November 2019. The general data questionnaire and the pre-established medical care plan attitude and behavioural intention questionnaire were used to conduct the investigation and study.  Results  Approximately 99.8% of the medical staff believed that it is very important to understand the patient's life intention; 98.5% believed that medical decisions should be made after discussion amongst the patient, family members and doctors; and 96.3% agreed that family members should be involved. The participation rate of ACP behaviour of medical staff in the cancer hospital was 26.6%. In terms of assisting patients to set up living will in advance, 78.4% were willing, 6.0% were not clear, and 15.6% were unwilling. Univariate analysis showed significant differences in working years, marriage, education level, bereavement experience and cognition of pre-set medical care plan on ACP attitude and behaviour amongst medical staff in the cancer hospital (P < 0.05). Multivariate analysis found that married, high education, bereavement experience and cognition of pre-set medical care plan were factors influencing the attitude and behaviour intention of medical staff in the cancer hospital to implement ACP.  Conclusion  In general, medical staff showed positive acceptance of ACP attitudes and behavioural intentions towards patients with advanced cancer, and ACP attitudes amongst medical staff were affected by education and marital status. Some differences were observed in the treatment of patients amongst the medical staff who were more inclined to the implementation of ACP and more willing to help patients sign a living will.

     

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