A survey of older peoples' attitudes towards advance care planning
A survey of older peoples' attitudes towards advance care planning
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DOI：
10.1093/ageing/afv041
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发表时间：
2015-05-01
期刊：
影响因子：
6.7
通讯作者：
Conroy, Simon
中科院分区：
文献类型：
--
作者：
Musa, Irfana;Seymour, Jane;Conroy, Simon
背景资料：先进的护理规划（ACP）是一个过程，以建立个人的偏好，照顾在未来，一些英国的研究已经进行，以确定公众的态度对ACP。目的：这项研究的目的是评估的态度，老年人在东米德兰兹郡通过发展和管理的调查。设计：调查问卷是根据文献审查、与老年人的探索性焦点小组和专家顾问的意见编制的。最后的问题，然后重新测试与奠定volunteer.Setting：13个一般的做法，登记发送调查，以潜在的参与者年龄在65岁或以上。有没有额外的纳入或排除标准的participants.Methods：简单的描述性统计被用来描述的反应和回归分析被用来评估哪些项目预测的反应，以关键outcome.Results：5,375（34%）社区居住的老年人，1,823返回问卷。17%的答复者编写了一份非加太方案文件;其中4%的答复者完成了拒绝治疗的预先决定。5%的答复者说，他们有机会谈论非加太问题。完成ACP文件的预测因素包括：有机会讨论ACP，年龄较大，身体功能较好和男性。家庭的信任程度高于专业人员。结论：虽然三分之一的受访者赞成讨论ACP，如果有机会与他们的GP，只有相对少数（17%）积极参与。他们倾向于与家人而不是专业人士进行非正式讨论。
Background: advance care planning (ACP) is a process to establish an individual's preference for care in the future; few UK studies have been conducted to ascertain public attitudes towards ACP.Objective: the aim of this study was to assess the attitudes of older people in East Midlands through the development and administration of a survey.Design: the survey questionnaire was developed on the basis of a literature review, exploratory focus groups with older adults and expert advisor input. The final questions were then re-tested with lay volunteers.Setting: thirteen general practices were enrolled to send out surveys to potential participants aged 65 or older. There were no additional inclusion or exclusion criteria for participants.Methods: simple descriptive statistics were used to describe the responses and regression analyses were used to evaluate which items predicted responses to key outcomes.Results: of the 5,375 (34%) community-dwelling older peoples, 1,823 returned questionnaires. Seventeen per cent of respondents had prepared an ACP document; of whom, 4% had completed an Advance Decision to Refuse Treatment (ADRT). Five per cent of respondents stated that they had been offered an opportunity to talk about ACP. Predictors of completing an ACP document included: being offered the opportunity to discuss ACP, older age, better physical function and male gender. Levels of trust were higher for families than for professionals. One-third of the respondents would be interested in talking about ACP if sessions were available.Conclusion: although a third of the respondents were in favour of discussing ACP if the opportunity was available with their GP, only a relative minority (17%) had actively engaged. Preferences were for informal discussions with family rather than professionals.