Douglas Rebecca, Brown Hazel N
Brooke Army Medical Center, San Antonio, TX, USA.
J Nurs Scholarsh. 2002;34(1):61-5. doi: 10.1111/j.1547-5069.2002.00061.x.
To explore hospitalized patients' attitudes toward advance directives, their reasons for completing or not completing advance directive forms, and demographic differences between patients who did and did not complete advance directive forms.
The convenience sample comprised 30 hospitalized patients in North Carolina. Participants were interviewed using an adapted advance directive attitude survey (ADAS), and were asked five general questions about advance directives. Validity and reliability were established on the adapted tool.
The overwhelming majority of participants had received information on advance directives and they were moderately positive about them. The majority who had completed advance directives were Caucasian, female, over age 65, had less than a high school education, and perceived their health as poor. Most believed that an advance directive would ensure they received the treatment they desired at the end of life.
Patients' attitudes alone did not determine who will and will not complete advance directives. Most participants who completed advance directives had specific reasons for doing so. Nurses have responsibility for discussing advance directives with patients, families, and physicians to ensure adequate education about the completion of advance directives.
探讨住院患者对预先指示的态度、他们填写或不填写预先指示表格的原因，以及填写和未填写预先指示表格的患者之间的人口统计学差异。
便利样本包括北卡罗来纳州的30名住院患者。使用一份经过改编的预先指示态度调查问卷（ADAS）对参与者进行访谈，并询问他们关于预先指示的五个一般性问题。在改编后的工具上建立了效度和信度。
绝大多数参与者已收到关于预先指示的信息，并且他们对预先指示持适度积极的态度。填写了预先指示的大多数人是白人、女性、65岁以上、高中以下学历，且认为自己健康状况不佳。大多数人认为预先指示将确保他们在生命末期得到他们想要的治疗。
仅患者的态度并不能决定谁会填写和谁不会填写预先指示。大多数填写预先指示的参与者这样做都有具体原因。护士有责任与患者、家属和医生讨论预先指示，以确保对填写预先指示进行充分的教育。
