Tripken Jennifer L, Elrod Cathy S
1 Department of Health and Human Performance, Marymount University, Arlington, VA, USA.
2 Department of Physical Therapy, Marymount University, Arlington, VA, USA.
Am J Hosp Palliat Care. 2018 Apr;35(4):627-634. doi: 10.1177/1049909117727456. Epub 2017 Aug 28.
To describe the knowledge, attitudes, beliefs, and behaviors of young adults regarding advance care planning (ACP).
A cross-sectional sample of young adults (N = 310) from a single metropolitan university during September to November 2016 completed an online survey about their knowledge, attitudes, beliefs, and behaviors regarding ACP. Descriptive statistics and correlation tests were conducted.
Young adults lacked familiarity and knowledge regarding ACP. Those who were most familiar with ACP terminology were more likely to be older, female, enrolled in a graduate program, and employed full time. Although the majority of respondents had positive attitudes and beliefs about ACP, only one-third had talked with their family/loved ones about their wishes for end-of-life care.
Our study findings suggest a strong need to inform and engage young adults in ACP and end-of-life care discussions. As young adults are likely to become a caregiver for an aging family member, they can have an important role in initiating and facilitating conversations with loved ones and be instrumental in ACP for older adults.
描述年轻人在预立医疗照护计划(ACP)方面的知识、态度、信念和行为。
2016年9月至11月,从一所大都市大学抽取了310名年轻人作为横断面样本,他们完成了一项关于其在ACP方面的知识、态度、信念和行为的在线调查。进行了描述性统计和相关性测试。
年轻人对ACP缺乏了解。那些对ACP术语最熟悉的人更有可能年龄较大、为女性、就读于研究生课程且全职工作。尽管大多数受访者对ACP持积极态度和信念,但只有三分之一的人与其家人/爱人谈论过他们对临终护理的愿望。
我们的研究结果表明,迫切需要让年轻人了解并参与到ACP和临终护理讨论中来。由于年轻人可能会成为年迈家庭成员的照料者,他们在与爱人发起并推动对话方面可发挥重要作用,并且在老年人的ACP中能起到重要作用。