Rahemi Zahra, Dunphy Lynn M, Newman David
Clemson University School of Nursing, Greenville, SC, USA.
Florida Atlantic University, Boca Raton, FL, USA.
West J Nurs Res. 2019 Oct;41(10):1499-1516. doi: 10.1177/0193945919832304. Epub 2019 Feb 22.
Using a cross-sectional study, this article addresses end-of-life (EOL) care for older Iranian-American adults. The purposes are twofold: (a) to explore participants' preferences for home or hospital care in the event they face EOL conditions and (b) to learn how participants prefer to communicate these preferences. Results showed that about half of the 130 participants had communicated their EOL care preferences through written documents and/or verbal discussions. A set of factors predicted the preferences (χ(9) = 17.42, < .042) and communications (χ(9) = 19.54, = .021). Regression models indicated that higher scores of social support ( = .013) and greater numbers of cohabitants ( = .021) were associated with a preference for home care, and experience of a loved one's death was associated with participants being willing to communicate their preferences for type of care ( = .015). This study can bridge the gap between culturally diverse older adults' preferences and types of EOL care they ultimately receive.
本文采用横断面研究方法，探讨了伊朗裔美国老年成年人的临终关怀问题。目的有两个：（a）探讨参与者在面临临终状况时对居家护理或医院护理的偏好；（b）了解参与者希望如何传达这些偏好。结果显示，130名参与者中约有一半通过书面文件和/或口头讨论表达了他们的临终护理偏好。一组因素预测了这些偏好（χ(9) = 17.42， <.042）和沟通情况（χ(9) = 19.54， =.021）。回归模型表明，社会支持得分较高（ =.013）和同居者数量较多（ =.021）与居家护理偏好相关，而亲人死亡的经历与参与者愿意传达其护理类型偏好相关（ =.015）。这项研究可以弥合文化背景各异的老年人的偏好与他们最终接受的临终护理类型之间的差距。
