Matzo Marianne, Hijjazi Kamal, Outwater Mary
Sooner Palliative Care Institute, USA.
J Gerontol Nurs. 2008 Feb;34(2):21-6. doi: 10.3928/00989134-20080201-08.
This study sought to document older Oklahomans' knowledge, attitudes, and behaviors regarding the decision to write an advance directive. In Oklahoma, 67% of individuals older than age 18 do not have an advance directive; 76% say the reason is that they "have not gotten around to it." The findings from this study also indicate that some groups in Oklahoma, because of their age and race, need nurses to initiate this conversation. The discussion about advance directives should be part of the health promotion teaching provided by nurses and presented to the general public as a normal part of health care, with the focus on planning for a comfortable and peaceful death.
本研究旨在记录俄克拉荷马州老年人在决定签署预先医疗指示方面的知识、态度和行为。在俄克拉荷马州,67%的18岁以上人群没有预先医疗指示;76%的人表示原因是他们“还没来得及做”。这项研究的结果还表明,俄克拉荷马州的一些群体,由于其年龄和种族原因,需要护士发起这一对话。关于预先医疗指示的讨论应成为护士提供的健康促进教学的一部分,并作为医疗保健的正常组成部分向公众宣传,重点是规划舒适安宁的死亡。