目的 调查晚期癌症患者家属决策自我效能现状并分析其影响因素。方法 采用便利抽样法，2022年6-12月选取某三级甲等医院180例晚期癌症患者家属为研究对象，采用一般资料调查表、中文版家属决策自我效能量表、社会支持评定量表、简易应对方式问卷对其进行调查，采用多重线性回归分析晚期癌症患者家属决策自我效能的影响因素。结果 共调查180例晚期癌症患者家属，家属决策自我效能平均得分为（3.48±0.66）分。多重线性回归分析结果显示，家属的性别、婚姻状况、家庭人均月收入、应对方式、社会支持总分及患者的文化程度、年龄、使用呼吸机的意愿是晚期癌症患者家属决策自我效能的影响因素（P＜0.001）。结论 晚期癌症患者家属决策自我效能得分处于中等水平，医护人员应开展相应的家庭决策辅助和干预方案，增强家属的决策自我效能，帮助其做出符合患者和家庭实际情况的合理决策。

Objective To investigate the current status of decision-making self-efficacy among family members of patients with advanced cancer and analyze its influencing factors.Methods From June to December 2022,180 family members of patients with advanced cancer from a tertiary A hospital were selected by convenience sampling and then surveyed using the general information questionnaire,the Chinese version of the Family Decision-Making Self-Efficacy Scale,the Social Support Rating Scale,and the Simplified Coping Style Questionnaire.Multiple linear regression was used to analyze the influencing factors of decision-making self-efficacy among them.Results A total of 180 family members of patients with advanced cancer were surveyed.The average score of family members’ decision-making self-efficacy was (3.48±0.66) points.Multiple linear regression analysis showed that family members’ gender,marital status,average monthly household income per capita,coping style,total social support score,as well as patients’ education level,age,and willingness to use a ventilator were influencing factors of the self-efficacy(P＜0.001).Conclusions The decision-making self-efficacy score of family members of patients with advanced cancer is at a moderate level.Medical staff should develop corresponding family decision-making assistance and intervention programs to enhance their decision-making self-efficacy and help them make reasonable decisions that align with the actual situation of patients and families.

R473.73

国家自然科学基金（72004243）