Effectiveness of end-of-life education among community-dwelling older adults
Effectiveness of end-of-life education among community-dwelling older adults
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DOI：
10.1177/0969733009355372
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发表时间：
2010-05-01
期刊：
影响因子：
4.2
通讯作者：
Matsui, Miho
中科院分区：
文献类型：
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作者：
Matsui, Miho
本研究的目的是评估针对日本老年人的临终讨论教育干预的有效性以及他们对这种干预的态度和接受程度。采用准实验设计。共有121名年龄在65岁及以上的老年人同意参加。来自55名干预参与者和57名对照参与者的数据用于分析。干预包括一个教育计划，包括一个视频，使用讲义讲座，和参与者之间的讨论。对照组只收到了讲义。两组均于1个月后随访。干预组的态度变得更有利的预先指示，特别是生前遗嘱（P = 0.024）。此外，在随访时，他们对通过人工营养维持生命治疗的偏好表达较少，表明这些老年人变得更加自主（P = 0.008）。有更大的接受干预作为一个整体的干预组与对照组相比（P = 0.011）。虽然很少有参与者完成了生前遗嘱，但在随访时，干预组中有两倍的人与家庭成员和/或他们的医生讨论了临终事宜。
The purpose of this study was to evaluate the effectiveness of an educational intervention regarding end-of-life discussion directed at older Japanese adults and their attitude to and acceptance of this intervention. A quasi-experimental design was used. A total of 121 older adults, aged 65 years and over, consented to participate. Data from 55 intervention and 57 control participants were used for the analysis. The intervention consisted of an education program comprising a video, a lecture using a handout, and discussion among participants. The control group received only the handout. Both groups were followed up after one month. The intervention group's attitude became more favorable towards advance directives, especially living wills (P = 0.024). In addition, their expression of preference for life-sustaining treatment by means of artificial nutrition was less at follow up, demonstrating that these older adults had become more autonomous (P = 0.008). There was greater acceptance of the intervention as a whole by the intervention group compared with the control group (P = 0.011). Although few participants overall completed living wills, at follow up twice as many in the intervention group had discussed end-of-life matters with family members and/or their physician.