【摘要】 目的 探讨基于安心卡的死亡教育在癌症晚期患者中的应用及效果。方法 采用便利抽样法，选择124例癌症晚期患者作为研究对象，运用随机数字表法分为观察组和对照组，各62例。对照组实施常规治疗、护理及死亡教育。观察组在对照组的基础上，使用基于安心卡的死亡教育干预，以游戏娱乐、家庭会议、沟通谈话等方式对癌症晚期患者进行生命末期需求评估及干预。采用焦虑量表（Self-Rating Anxiety Scale,SAS）和抑郁量表（Self-Rating Depression Scale,SDS）、死亡态度描绘量表（Death Attitude Profile-Revised,DAP-R）评价基于安心卡的死亡教育在癌症晚期患者中的应用效果。采用癌症晚期患者家属照顾沟通效能评估量表，评价基于安心卡的死亡教育在癌症晚期患者家属中的应用效果。结果 观察组癌症晚期患者以身体/生理需求、心理情感需求为主，分别占38%、32%；医疗决策类谈话平均时长最长，为（25.28±8.13）min;2组患者的SAS、SDS、DAP-R评分差异有统计学意义（P<0.05）。2组癌症晚期患者家属的照顾沟通效能评分差异有统计学意义（P<0.05）。结论 基于安心卡的死亡教育有助于改善癌症晚期患者的心理状态，减轻焦虑、抑郁和死亡恐惧等情绪，提升患者家属照护沟通能力，进而帮助其正确面对及接受死亡，提升终末期舒适度，满足患者心愿。更多还原

【Abstract】 ObjectiveTo explore the effect of death education based on the Peace of Mind Card in patients with advanced cancer.MethodUsing convenience sampling, 124 patients with advanced cancer were selected as the study subjects. They were randomly divided into an experimental group(n=62) and a control group(n=62) using a random number table. The control group received conventional treatment, nursing care and death education. The experimental group, in addition to the control regimen, received death education based on the Peace of Mind Card, including end-of-life needs assessment and interventions through recreational activities, family meetings, and communicative conversations. The effectiveness of the Peace of Mind Card-based death education in patients and their families was assessed using the Self-Rating Anxiety Scale(SAS), the Self-Rating Depression Scale(SDS), the Death Attitude ProfileRevised(DAP-R), and the Cancer Communication Assessment Tool for Patients and Families(CCAT-PF).ResultsAmong patients with advanced cancer, physical/physiological needs(38%) and psychosocial needs(32%) predominated. Conversations regarding medical decision-making had the longest average duration(25.28±8.13 minutes). The scores for the SAS, SDS, and DAP-P in patients and the score of CCAT-PF in their family members showed significant differences between the two groups.ConclusionDeath education based on the Peace of Mind Card contributes to improving the psychological state of patients with advanced cancer by alleviating emo’tions such as anxiety and depression. It also enhances family caregivers communication skills and helps them to confront and accept’death appropriately, thus improving end-of-life comfort and fulfilling patients wishes更多还原