Ashcraft Alyce S, Owen Donna C
Texas Tech University Health Sciences Center, School of Nursing, 3601 4th Street, Lubbock, TX 79430, USA.
Texas Tech University Health Sciences Center, School of Nursing, 3601 4th Street, Lubbock, TX 79430, USA.
Geriatr Nurs. 2016 Jan-Feb;37(1):71-4. doi: 10.1016/j.gerinurse.2015.11.009. Epub 2015 Dec 18.
Relationships between end-of-life (EOL) planning and demographic and health related variables for individuals living in three rural West Texas counties were examined using a prospective cohort study design. Project FRONTIER, a longitudinal community-based participatory research project, served as the database for this study. Abstracted data from 692 older adults focused on demographic variables, medical conditions, and EOL planning. EOL planning activities included completing a will (39%), a durable power of attorney (32%), advanced directives (14%), talking with family about EOL wishes (31%), and designating a decision maker (55%). The mean EOL Planning Index was 1.6 (SD = 2.58) with higher numbers indicating greater level of planning. Regression findings supported significantly higher levels of EOL planning influenced by age, education, non-Hispanic ethnicity, chronic disease, depression, and communication with family about nursing home placement. Aging rural adults and their healthcare providers would benefit from learning more about EOL planning.
采用前瞻性队列研究设计，对生活在西德克萨斯州三个农村县的居民的临终（EOL）规划与人口统计学及健康相关变量之间的关系进行了研究。前沿项目（Project FRONTIER）是一项基于社区的纵向参与性研究项目，作为本研究的数据库。从692名老年人中提取的数据聚焦于人口统计学变量、医疗状况和临终规划。临终规划活动包括立遗嘱（39%）、签署持久授权书（32%）、制定预立医疗指示（14%）、与家人谈论临终愿望（31%）以及指定决策者（55%）。临终规划指数的平均值为1.6（标准差 = 2.58），数值越高表明规划水平越高。回归结果支持，年龄、教育程度、非西班牙裔种族、慢性病、抑郁症以及与家人就养老院安置问题进行沟通，对临终规划水平有显著更高的影响。农村老年人群体及其医疗服务提供者将受益于更多地了解临终规划。
