Hwang Hyeyoung, Yang Sook Ja, Jeong Sarah Yeun-Sim
College of Nursing, Ewha Womans University, 52 Ewhayeodae-gil Seodaemun-gu, Seoul,03760, Republic of Korea.
College of Nursing, Ewha Womans University, 52 Ewhayeodae-gil Seodaemun-gu, Seoul,03760, Republic of Korea.
Geriatr Nurs. 2018 Jul-Aug;39(4):428-435. doi: 10.1016/j.gerinurse.2017.12.015. Epub 2018 Feb 2.
This descriptive cross-sectional survey aimed to investigate the preferences of older inpatients and their family caregivers for life-sustaining treatments (LSTs) and their influential factors. Inpatients aged 60 and older and their family caregivers in three acute hospitals in Seoul, South Korea, were invited to participate in the study. A total of 180 surveys were returned from 90 pairs of patients and family caregivers with a response rate of 95%. Older inpatients expressed a significantly high desire for "not wanting to have cardiopulmonary resuscitation" (χ = 10.07, p = 0.007) and "mechanical ventilator" (χ = 10.35, p = 0.006) compared to their caregivers. Given that experiences of conversations about LSTs was a common factor in both groups and may prevent futile LSTs, it is important for nurses to initiate and support patients and family caregivers, helping them engage in formal and informal conversations about future healthcare preferences.
这项描述性横断面调查旨在探究老年住院患者及其家庭照护者对维持生命治疗（LSTs）的偏好及其影响因素。邀请了韩国首尔三家急症医院中60岁及以上的住院患者及其家庭照护者参与该研究。共收到来自90对患者和家庭照护者的180份调查问卷，回复率为95%。与照护者相比，老年住院患者对“不希望进行心肺复苏”（χ = 10.07，p = 0.007）和“使用机械通气机”（χ = 10.35，p = 0.006）表现出显著更高的意愿。鉴于关于LSTs的谈话经历是两组的共同因素，且可能避免无意义的LSTs，护士发起并支持患者及其家庭照护者，帮助他们就未来的医疗偏好进行正式和非正式谈话非常重要。
