Relationship among Trust in Physicians, Demographics, and End-of-life Treatment Decisions Made by African American Dementia Caregivers.
Relationship among Trust in Physicians, Demographics, and End-of-life Treatment Decisions Made by African American Dementia Caregivers.
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DOI：
10.1097/njh.0b013e318243920c
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发表时间：
2012-05-01
期刊：
影响因子：
--
通讯作者：
Dancy B
中科院分区：
文献类型：
--
作者：
Watkins YJ;Bonner GJ;Wang E;Wilkie DJ;Ferrans CE;Dancy B
在一个城市非裔美国人社区进行了一项试点研究，以探讨对医生的信任，人口统计学和非裔美国人痴呆症家庭成员的照顾者做出的临终治疗决定之间的关系：即心肺复苏术，机械通气和管饲。在一个横断面设计，标准措施进行了管理，以方便样本的68名非裔美国人照顾者的家庭成员患有痴呆症。单变量和多变量分析用于探索变量之间的关联。受教育程度较高的人对医生的信任度高于受教育程度较低的人（p = 0.035）。更信任医生的护理人员比不太信任的护理人员更有可能使用机械通气（p = 0.0005）。相反，更信任的照顾者不太可能使用管饲（p = 0.022）。我们的研究结果表明，对医生的信任，人口统计学和临终治疗决定之间存在关系。因此，卫生保健提供者应该考虑非裔美国人照顾者在咨询痴呆症和临终治疗选择时对医生的信任。
A pilot study was conducted in an urban African American community to explore the relationship between trust in physicians, demographics and end-of-life treatment decisions made by African American caregivers of family members with dementia: namely, cardiopulmonary resuscitation, mechanical ventilation and tube feeding. In a cross-sectional design, standard measures were administered to a convenience sample of 68 African American caregivers of family members with dementia. Univariate and multivariate analyses were used to explore associations among the variables. Those with more education exhibited higher (p = 0.035) trust in physicians than less educated individuals. Caregivers who were more trusting of their physicians were more likely to use mechanical ventilation (p = 0.0005) than were less trusting caregivers. Conversely, more trusting caregivers were less likely to use tube feeding (p = 0.022). Our findings suggest relationships exist among trust in physicians, demographics and end-of-life treatment decisions. Thus, health care providers should consider African American caregivers’ perceived trust in physicians when counseling about dementia and end-of-life treatment choices.
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影响因子：
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