韩国老年成年人中与撰写预立医疗指示达成一致的预测因素。
Predictors of Agreement With Writing Advance Directives Among Older Korean Adults.
作者信息
Park Jaewon, Song Jun-Ah
机构信息
Korea University, Seoul, South Korea.
Korea University, Seoul, South Korea
出版信息
J Transcult Nurs. 2016 Nov;27(6):574-582. doi: 10.1177/1043659615587586. Epub 2015 May 20.
PURPOSE
To determine the predictors of agreement with writing advance directives (ADs) among older Korean adults.
DESIGN
This was a secondary analysis of a study that compared the differences in knowledge, experience, and preference about ADs between community and facility-dwelling older adults. Data were collected through self-reported questionnaires. In this study, after 25 cases were excluded from the original sample (N = 181) for incomplete data, a sample of 156 was analyzed using multiple logistic regression analysis.
RESULTS
Older adults' experiences with having thought about life-sustaining treatments, odds ratio (OR) = 4.02, 95% confidence interval (CI) [1.56, 10.38], agreements with legalization of ADs, OR = 4.68, 95% CI [1.69, 12.96], and wishes to obtain information about medical status, OR = 3.78, 95% CI [1.66, 8.64], were identified as the predictors of agreement with writing ADs.
IMPLICATIONS FOR PRACTICE
Discussion channels and educational programs about ADs should be developed for older Korean adults.
目的
确定韩国老年人群中与签署预立医疗指示（ADs）达成一致的预测因素。
设计
这是一项对一项研究的二次分析，该研究比较了社区居住和机构居住的老年人在ADs的知识、经验和偏好方面的差异。数据通过自我报告问卷收集。在本研究中，由于数据不完整，从原始样本（N = 181）中排除25例后，对156例样本进行了多元逻辑回归分析。
结果
老年人对维持生命治疗的思考经历，优势比（OR）= 4.02，95%置信区间（CI）[1.56, 10.38]；对ADs合法化的认同，OR = 4.68，95% CI [1.69, 12.96]；以及获取医疗状况信息的意愿，OR = 3.78，95% CI [1.66, 8.64]，被确定为与签署ADs达成一致的预测因素。
对实践的启示
应为韩国老年人开发关于ADs的讨论渠道和教育项目。
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