是什么影响个人参与预先护理计划？
What influences individuals to engage in advance care planning?
作者信息
Levi Benjamin H, Dellasega Cheryl, Whitehead Megan, Green Michael J
机构信息
Department of Humanities, Penn State College of Medicine, Hershey, Pennsylvania 17033, USA.
出版信息
Am J Hosp Palliat Care. 2010 Aug;27(5):306-12. doi: 10.1177/1049909109355280. Epub 2010 Jan 26.
Abstract
BACKGROUND
Advance care planning (ACP) is an underutilized process that involves thinking about what kind of life-prolonging medical care one would want should the need arise, identifying a spokesperson, and then communicating these wishes.
OBJECTIVE
To better understand what influences individuals to engage in ACP.
DESIGN
Three focus groups using semistructured interactive interviews were conducted with 23 older individuals from 3 diverse populations in central Pennsylvania.
RESULTS
Four categories of influences for engaging in ACP were identified: (1) concern for self; (2) concern for others; (3) expectations about the impact of ACP; and (4) anecdotes, stories, and experiences.
CONCLUSIONS
The motivations for undertaking ACP that we have identified offer health care providers insight into effective strategies for facilitating the process of ACP with their patients.
摘要
背景
预先护理计划（ACP）是一个未得到充分利用的过程，它涉及思考在有需要时希望接受何种延长生命的医疗护理、确定一位代言人，然后传达这些愿望。
目的
为了更好地理解是什么影响个人参与预先护理计划。
设计
对宾夕法尼亚州中部3个不同人群的23名老年人进行了3次使用半结构化互动访谈的焦点小组讨论。
结果
确定了参与预先护理计划的四类影响因素：（1）对自身的关注；（2）对他人的关注；（3）对预先护理计划影响的期望；（4）轶事、故事和经历。
结论
我们所确定的参与预先护理计划的动机为医疗保健提供者提供了深入了解促进其患者进行预先护理计划过程的有效策略的依据。
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