Engaging Chinese American Adults in Advance Care Planning A Community-Based, Culturally Sensitive Seminar
Engaging Chinese American Adults in Advance Care Planning A Community-Based, Culturally Sensitive Seminar
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DOI：
10.3928/00989134-20150406-01
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发表时间：
2015-08-01
影响因子：
1.3
通讯作者：
Friedmann, Erika
中科院分区：
文献类型：
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作者：
Lee, Mei Ching;Hinderer, Katherine A.;Friedmann, Erika
少数民族群体在提前护理计划(ACP)方面的参与度低于高加索美国成年人。知识匮乏、语言和文化是非加太计划的障碍。在华裔美国成年人中，关于ACP和高级指令的研究有限。本研究采用前后测、重复测量设计，探讨了针对华裔美国成年人的护理、文化敏感的ACP研讨会的有效性：(A)提前指令的知识、完成和讨论；以及(B)人口统计变量、提前指令完成和ACP讨论之间的关系。研究对象包括72名居住在城市社区的华裔美国成年人(平均年龄为61岁)。参加护士主导的研讨会后，知识、预先指令完成和ACP讨论显著增加(p<；0.01)。年龄增长与提前完成指令和讨论ACP相关；女性与ACP讨论相关。社区环境中的护理教育增加了华裔美国成年人的提前指导知识和ACP参与度。
Ethnic minority groups are less engaged than Caucasian American adults in advance care planning (ACP). Knowledge deficits, language, and culture are barriers to ACP. Limited research exists on ACP and advance directives in the Chinese American adult population. Using a pre-posttest, repeated measures design, the current study explored the effectiveness of a nurseled, culturally sensitive ACP seminar for Chinese American adults on (a) knowledge, completion, and discussion of advance directives; and (b) the relationship between demographic variables, advance directive completion, and ACP discussions. A convenience sample of 72 urban, community-dwelling Chinese American adults (mean age = 61 years) was included. Knowledge, advance directive completion, and ACP discussions increased significantly after attending the nurse-led seminar (p < 0.01). Increased age correlated with advance directive completion and ACP discussions; female gender correlated with ACP discussions. Nursing education in a community setting increased advance directive knowledge and ACP engagement in Chinese American adults.