Braun Kathryn L, Karel Harumi, Zir Ana
Center on Aging, Office of Public Health Studies, University of Hawaii, Honolulu, USA.
Am J Hosp Palliat Care. 2006 Aug-Sep;23(4):269-76. doi: 10.1177/1049909106290243.
The authors developed and tested 5 educational booklets to improve end-of-life knowledge, attitudes, intention, and practices in a multiethnic sample of family caregivers of well, homebound, and institutionalized elders. Of 570 participants, 424 (74%) read at least 1 booklet and completed pretests and posttests. At 3-month follow-up, small improvements were seen in completion of advance directives, and significant increases were seen in proportions of caregivers with funeral or burial plans and willingness to consider hospice. The booklets had wide appeal, but end-of-life measures varied by care-giver stage and ethnicity, suggesting that these factors need to be considered in developing education interventions for family caregivers.
作者编写并测试了5本教育手册，以提高来自不同种族、照顾居家及机构养老老人的家庭照护者对临终关怀的知识、态度、意愿及实践能力。在570名参与者中，424人（74%）阅读了至少1本手册，并完成了预测试和后测试。在3个月的随访中，预先指示的完成情况有小幅改善，制定了丧葬计划以及愿意考虑临终关怀的照护者比例显著增加。这些手册具有广泛的吸引力，但临终关怀措施因照护者阶段和种族而异，这表明在为家庭照护者制定教育干预措施时需要考虑这些因素。
