Advance Directive and End-of-Life Care Preferences Among Chinese Nursing Home Residents in Hong Kong
Advance Directive and End-of-Life Care Preferences Among Chinese Nursing Home Residents in Hong Kong
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DOI：
10.1016/j.jamda.2010.08.015
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发表时间：
2011-02-01
影响因子：
7.6
通讯作者：
Woo, Jean
中科院分区：
文献类型：
--
作者：
Chu, Leung-Wing;Luk, James K. H.;Woo, Jean
目的：本研究的目的是描述的知识和偏好的香港中国老年人关于提前指令和临终关怀的决定，并探讨预测的偏好提前指令和社区临终关怀在nursinghomes.Methods：这是一个横断面调查在140个养老院在香港进行。共招募了1600名认知正常的中国老年人。资料的人口统计学，社会，医疗疾病，偏好的临终关怀的决定，并预先指示收集面对面的问卷interviews.Results：参与者的平均年龄为82.4岁，94.2%的人更愿意被告知的诊断，如果他们有绝症和88.0%的人更愿意有他们的预先指示，在未来的医疗。大约35%的人宁愿死在养老院。在欧洲生活质量5维度中，寻求亲属建议、希望被告知其晚期疾病诊断、没有中风和自我护理没有问题是倾向于预先指示的重要独立预测因素。对于社区临终关怀和在疗养院死亡的偏好，独立预测因素包括年龄较大，在香港没有兄弟姐妹，天主教，不信仰中国传统宗教，没有收到任何老年津贴，老年抑郁量表评分较低，以及政府补贴的疗养院居民。我们大多数认知正常的中国养老院老年人更喜欢有一个预先指示，他们中的三分之一宁愿死在养老院。（《美国医学发展杂志》，2011年; 12：143-152）
Objectives: The objectives of the present study were to describe the knowledge and preferences of Hong Kong Chinese older adults regarding advance directives and end-of-life care decisions, and to investigate the predictors of preferences for advance directive and community end-of-life care in nursing homes.Methods: This was a cross-sectional survey conducted in 140 nursing homes in Hong Kong. A total of 1600 cognitively normal Chinese older adults were recruited. Information on demographics, social, medical diseases, preferences of end-of-life care decisions, and advance directives were collected by face-to-face questionnaire interviews.Results: The mean age of the participants was 82.4 years; 94.2% of them would prefer to be informed of the diagnosis if they had terminal diseases and 88.0% preferred to have their advance directives regarding medical treatment in the future. Approximately 35% would prefer to die in their nursing homes. The significant independent predictors for the preference of advance directive included asking for relatives' advice, wishing to be informed of their terminal illness diagnoses, absence of stroke, and having no problems in self-care in European Quality of Life-5 Dimensions. For the preference for community end-of-life care and dying in nursing homes, the independent predictors included older age, not having siblings in Hong Kong, Catholic religion, nonbeliever of traditional Chinese religion, not receiving any old age allowance, lower Geriatric Depression Scale score, and being residents of government-subsidized nursing homes.Conclusions: Most of our cognitively normal Chinese nursing home older adults prefer having an advance directive, and one-third of them would prefer to die in nursing homes. (J Am Med Dir Assoc 2011; 12: 143-152)