Lee Mei Ching, Hinderer Katherine A, Friedmann Erika
J Gerontol Nurs. 2015 Aug;41(8):17-21. doi: 10.3928/00989134-20150406-01. Epub 2015 Apr 17.
Ethnic minority groups are less engaged than Caucasian American adults in advance care planning (ACP). Knowledge deficits, language, and culture are barriers to ACP. Limited research exists on ACP and advance directives in the Chinese American adult population. Using a pre-posttest, repeated measures design, the current study explored the effectiveness of a nurseled, culturally sensitive ACP seminar for Chinese American adults on (a) knowledge, completion, and discussion of advance directives; and (b) the relationship between demographic variables, advance directive completion, and ACP discussions. A convenience sample of 72 urban, community-dwelling Chinese American adults (mean age=61 years) was included. Knowledge, advance directive completion, and ACP discussions increased significantly after attending the nurse-led seminar (p<0.01). Increased age correlated with advance directive completion and ACP discussions; female gender correlated with ACP discussions. Nursing education in a community setting increased advance directive knowledge and ACP engagement in Chinese American adults.
与美国白人成年人相比，少数族裔群体参与预先护理计划（ACP）的程度较低。知识欠缺、语言和文化是ACP的障碍。针对华裔美国成年人的ACP和预先指示的研究有限。本研究采用前后测、重复测量设计，探讨了由护士主导的、具有文化敏感性的ACP研讨会对华裔美国成年人在以下方面的有效性：（a）预先指示的知识、完成情况和讨论；（b）人口统计学变量、预先指示完成情况和ACP讨论之间的关系。纳入了72名居住在城市社区的华裔美国成年人（平均年龄=61岁）的便利样本。参加由护士主导的研讨会后，知识、预先指示完成情况和ACP讨论显著增加（p<0.01）。年龄增长与预先指示完成情况和ACP讨论相关；女性性别与ACP讨论相关。社区环境中的护理教育增加了华裔美国成年人的预先指示知识和对ACP的参与度。
