Cicirelli V G, MacLean A P, Cox L S
Purdue University, West Lafayette, Indiana, USA.
Death Stud. 2000 Jul-Aug;24(5):401-19. doi: 10.1080/07481180050045656.
This study determined the relationship of psychosocial and background variables to elders' end-of-life (EOL) decision preferences. Responding to 5 EOL decision scenarios depicting terminally ill elders, 200 elders aged 60-90 indicated preferences regarding extending life (EL), refusing treatment (RT), and assisted suicide (AS). They were also assessed on religiosity, values, fear of death, locus of control, health, socioeconomic status, and age. Results of multinomial logistic regression indicated that EOL decisions of three groups (favoring EL, favoring RT, and favoring both AS and RT) were significantly influenced by religiosity, value for preservation of life, value for quality of life, fear of death, and locus of control belief. The importance of safeguarding older adults' autonomy in EOL decisions was stressed.
本研究确定了心理社会和背景变量与老年人临终（EOL）决策偏好之间的关系。针对描绘绝症老年人的5个临终决策场景，200名60 - 90岁的老年人表明了他们在延长生命（EL）、拒绝治疗（RT）和协助自杀（AS）方面的偏好。他们还接受了宗教信仰、价值观、对死亡的恐惧、控制点、健康状况、社会经济地位和年龄的评估。多项逻辑回归结果表明，三组（支持延长生命、支持拒绝治疗、支持协助自杀和拒绝治疗）的临终决策受到宗教信仰、对生命保存的重视、对生活质量的重视、对死亡的恐惧和控制点信念的显著影响。强调了在临终决策中保障老年人自主权的重要性。
