Cohen-Mansfield J, Rabinovich B A, Lipson S, Fein A, Gerber B, Weisman S, Pawlson L G
Research Institute of the Hebrew Home of Greater Washington, Rockville, Md 20852.
Arch Intern Med. 1991 Feb;151(2):289-94.
One hundred three nursing home residents were interviewed regarding their preferences for the choice of an agent for health-care decision making while being offered the opportunity to execute a Durable Power of Attorney for health care. They also completed a questionnaire that tapped their preferences regarding the use of four types of life-support treatment under three hypothetical levels of future cognitive functioning. Factors that might influence these preferences, such as previous experiences with life-sustaining treatments, religious beliefs, and personal values, were also examined. Participants tended to choose their son or daughter as their agent for future health-care decision making. They had clear and consistent patterns of preferences regarding the utilization of life-sustaining treatment. Generally, participants opted not to be treated, although there was variability among participants. They were even less inclined to opt for treatment as their perceived level of future cognitive functioning declined, or when the life-sustaining treatment involved permanent rather than temporary procedures.
103名疗养院居民接受了访谈，询问他们在有机会签署医疗保健持久授权书时，对于选择医疗保健决策代理人的偏好。他们还完成了一份问卷，该问卷探讨了在未来三种假设认知功能水平下，他们对使用四种生命维持治疗的偏好。还研究了可能影响这些偏好的因素，如既往维持生命治疗的经历、宗教信仰和个人价值观。参与者倾向于选择他们的儿子或女儿作为未来医疗保健决策的代理人。他们在生命维持治疗的使用方面有明确且一致的偏好模式。一般来说，参与者选择不接受治疗，尽管参与者之间存在差异。随着他们感知到的未来认知功能水平下降，或者当生命维持治疗涉及永久性而非临时性程序时，他们更不愿意选择接受治疗。
