Factors that affect decisions to receive (or not receive) life-sustaining treatment in advance care planning.
Factors that affect decisions to receive (or not receive) life-sustaining treatment in advance care planning.
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DOI：
10.3928/02793695-20131028-01
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发表时间：
2014-03
影响因子：
1.2
通讯作者：
Green MJ
中科院分区：
文献类型：
--
作者：
Schubart JR;Levi BH;Dellasega C;Whitehead M;Green MJ
这项研究确定了影响人们是否想要接受维持生命治疗的决定的因素。这是一项基于来自三个焦点群体(n=23)的定性数据的解释性-描述性研究，代表了宾夕法尼亚州中部的不同人群。研究地点包括一个主要服务于白人中产阶级人口的郊区老年中心；一个服务于虚弱、服务不足的非裔美国人的城市老年中心；以及一个乳腺癌支持小组。影响参与者是否希望接受维持生命的医疗的最重要因素是：预后；预期的生活质量；他人的负担；医疗条件和治疗给自己造成的负担；以及对精神功能和独立性的影响。我们的发现有助于了解影响人们如何做出关于高级护理计划和维持生命治疗的决策的复杂因素。如果护士要将患者的目标、价值观和偏好转化为可操作的医疗计划，这种理解是至关重要的。
This study identifies factors that affect decisions people make regarding whether or not they want to receive life-sustaining treatment. It is an interpretive-descriptive study based on qualitative data from three focus groups (n=23), representing a diverse population in central Pennsylvania. Study sites included a suburban senior center serving a primarily white, middle class population; an urban senior center serving a frail, underserved, African-American population; and a breast cancer support group. The most important factors affecting whether participants wished to receive life-sustaining medical treatment were: prognosis; expected quality of life; burden to others; burden to oneself in terms of the medical condition and treatment; and effect on mental functioning and independence. Our findings contribute to the knowledge of the complex factors that influence how people make decisions about advance care planning and life-sustaining treatments. This understanding is critical if nurses are to translate the patient’s goals, values, and preferences into an actionable medical plan.
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DOI：
10.1007/s11019-005-2108-8
发表时间：
2005-01-01
期刊：
Medicine, health care, and philosophy
影响因子：
--
作者：
Sahm, S;Will, R;Hommel, G
通讯作者：
Hommel, G
DOI：
10.1111/j.1532-5415.2004.52165.x
发表时间：
2004-04-01
影响因子：
6.3
作者：
Straton, JB;Wang, NY;Gallo, JJ
通讯作者：
Gallo, JJ
影响因子：
--
作者：
Fried, TR;Byers, AL;Dubin, JA
通讯作者：
Dubin, JA
影响因子：
8.9
作者：
Nishimura, Adam;Mueller, Paul S.;Crowley, Mary E.
通讯作者：
Crowley, Mary E.
影响因子：
158.5
作者：
DANIS, M;SOUTHERLAND, LI;PATRICK, DL
通讯作者：
PATRICK, DL