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老年人对死亡的态度:与健康认知及临终问题担忧的关联

Older adults' attitudes toward death: links to perceptions of health and concerns about end-of-life issues.

作者信息

Lockhart L K, Bookwala J, Fagerlin A, Coppola K M, Ditto P H, Danks J H, Smucker W D

机构信息

Department of Psychology & Sociology, MSC 177, Texas A&M University, Kingsville, Kingsville, TX 78363, USA.

出版信息

Omega (Westport). 2001;43(4):331-47. doi: 10.2190/09B5-CCWE-D5GA-F0MA.

Abstract

The current study had two primary goals, to determine whether: 1) self-rated mental and physical health, pain, and experience with health problems were predictors of elderly adults' attitudes toward death; and 2) death attitudes predict end-of-life medical treatment concerns. Participants were 109 adults, 65 years of age or older (M=78.74 years), recruited from the local community. Regression analysis indicated that poorer perceived physical health predicted a greater likelihood of viewing death as an escape, and poorer perceived mental health predicted a greater fear of death. Viewing death as an escape and fearing death predicted end-of-life medical treatment concerns; a greater endorsement of either attitude predicted more concern. Possible explanations for the links between perceived health, attitudes toward death, and concern about end-of-life issues are suggested.

摘要

本研究有两个主要目标,即确定:1)自评的身心健康、疼痛及健康问题经历是否为老年人死亡态度的预测因素;2)死亡态度是否预测临终医疗问题。参与者为109名65岁及以上的成年人(平均年龄78.74岁),从当地社区招募。回归分析表明,较差的自评身体健康状况预示着将死亡视为逃避的可能性更大,较差的自评心理健康状况预示着对死亡的恐惧更大。将死亡视为逃避以及对死亡的恐惧预示着对临终医疗问题的担忧;对这两种态度中任一种的认可度越高,担忧程度越高。文中还提出了关于自评健康、死亡态度与临终问题担忧之间联系的可能解释。

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