摘要
目的了解上海市社区居民恶性肿瘤终末期患者临终地点的分布情况、变化趋势及其相关影响因素。方法应用上海市静安区某街道社区卫生服务中心2013年1月至2020年6月的社区居民恶性肿瘤患者随访登记数据库,描述临终地点的分布情况及变化趋势,通过无序多分类Logistic回归分析等方法对临终地点的影响因素进行单因素及多因素分析。结果2013年至2020年6月,上海市静安区某街道社区卫生服务中心恶性肿瘤死亡患者1343例,患者临终地点数据1216例,75.82%临终地点为医院病房。临终地点为家中的占比呈上升趋势。年龄(χ^(2)=36.80,P<0.001)、病情知情状况(χ^(2)=24.87,P<0.001)和癌痛发生频率情况(χ^(2)=18.60,P=0.005)为临终地点的影响因素。结论医院病房是恶性肿瘤患者最主要的临终地点,选择家中临终的患者呈上升趋势。患者年龄、病情知情状况、癌痛发生频率情况均可能影响恶性肿瘤患者的临终地点。
Objective To figure out the distribution,change trends and related factors of death location for malignant tumor patients in Jing’an District of Shanghai.Methods Data on tumor patients′death location from January 2013 to June 2020 in the Jing′an District of Shanghai were collected from the Follow-Up Registration Database of Malignant Tumor Patients of Community Health Service Center System.A descriptive analysis and trends analysis were performed on the death location data.The factors influencing the death location were analyzed via Logistic regression analysis.Results One thousand three hundred and forty-three deaths of malignant tumors patients were included from 2013 to June 2020,and 75.8%died in hospital wards among 1216 patients which had death location data.An obvious upward trend was showed that the proportion of patients died at home.Age(χ^(2)=36.80,P<0.001),informed status of patients with malignant tumors(χ^(2)=24.87,P<0.001)and cancer pain frequency(χ^(2)=18.60,P=0.005)were associated with death location.Conclusion The hospital ward is the main death location for patients with malignant tumor,and the proportion of dying patients at home is on the rise.Age,informed status of patients with malignant tumors and cancer pain frequency may have impacts on death location.
作者
于晓妍
程文迪
万铃珊
张璟
Yu Xiaoyan;Cheng Wendi;Wan Lingshan;Zhang Jing(Preventive Health Division,Jing′an District Jiangning Community Health Cencer,Shanghai 200041,China;不详)
出处
《山西医药杂志》
2023年第9期643-649,共7页
Shanxi Medical Journal
关键词
恶性肿瘤
终末期
临终关怀
分布
影响因素
End-stage malignant tumor
Death location
Distribution trend
Influencing factors
Shanghai
