Lee Joonyup, Cagle John G
1 School of Social Work, University of Maryland, Baltimore, MD, USA.
J Palliat Care. 2017 Jul/Oct;32(3-4):101-107. doi: 10.1177/0825859717738441. Epub 2017 Oct 30.
Attitudes and opinions about end-of-life care among older adults are understudied. Using survey data from the American Association of Retired Persons (AARP) membership in Florida (N = 2714), this study identified predictors of opinions about hospice (OAH) among older adults. Relationships between race/ethnicity and attitudes were also examined. Results showed race of the respondent was the strongest predictor of one's OAH. Predictors of positive opinions of hospice included being of Caucasian race, non-Hispanic ethnicity, better health, greater familiarity with hospice, a high importance of pain control, the importance of fulfilling personal goals, a desire to have health-care professionals involved in one's care, and having engaged in advance care planning. These findings suggest a need for greater attention to culture-based elements in future research and practice.
老年人对临终关怀的态度和看法尚未得到充分研究。本研究利用美国退休人员协会(AARP)佛罗里达分会会员的调查数据(N = 2714),确定了老年人对临终关怀看法(OAH)的预测因素。同时还研究了种族/民族与态度之间的关系。结果显示,受访者的种族是其OAH的最强预测因素。对临终关怀持积极看法的预测因素包括白人种族、非西班牙裔民族、健康状况较好、对临终关怀更熟悉、疼痛控制的高度重要性、实现个人目标的重要性、希望有医疗保健专业人员参与护理以及已进行预先护理规划。这些发现表明,未来的研究和实践需要更加关注基于文化的因素。