National Taipei University of Nursing and Health Sciences, School of Nursing, Taipei, Taiwan; Taipei Veterans General Hospital, Department of Nursing, Taipei, Taiwan; National Taiwan University, College of Medicine, School of Nursing, Taipei, Taiwan.
National Taiwan University, College of Medicine, School of Nursing, Taipei, Taiwan; National Taiwan University Hospital, Department of Nursing, Taipei, Taiwan.
Patient Educ Couns. 2021 Apr;104(4):815-825. doi: 10.1016/j.pec.2020.09.027. Epub 2020 Sep 23.
This study sought to develop a decision aid with cartoon pictures and evaluate its effectiveness in increasing consistency between elderly individuals and their surrogates regarding end-of-life care.
A pre-post quasi-experimental design was adopted using the Life Support Preferences Questionnaire. The intervention had two components: (1) increasing participants' knowledge of medical treatments related to end-of-life care, and (2) sharing their end-of-life wishes. The experimental group received an intervention, whereas the control group received usual care.
A total of 110 participants in 55 pairs of elderly individuals with average aged 86.4 and their surrogates (27 in the experimental group, 28 in the control group) were recruited from a veterans hospital in northern Taiwan. Nearly 90 % of elderly individuals were male. The multiple linear regression showed that the inconsistent gap between elderly individuals and their surrogates in the experimental group decreased 12 points than the control group after controlling the covariances (B = -12.116, p = 0.032).
The intervention improved the consistency between elderly individuals and their surrogates regarding end-of-life care.
A decision aid with cartoon pictures may support the discussion of end-of-life care in older Asian populations.
本研究旨在开发一种带有卡通图片的决策辅助工具，并评估其在增加老年人及其代理人在临终关怀方面的一致性方面的有效性。
采用前后准实验设计，使用生命支持偏好问卷。干预有两个组成部分：（1）增加参与者对与临终关怀相关的医疗治疗的知识，（2）分享他们的临终愿望。实验组接受干预，对照组接受常规护理。
共招募了来自台湾北部一家退伍军人医院的 55 对平均年龄为 86.4 岁的老年人及其代理人（实验组 27 人，对照组 28 人）共 110 名参与者。近 90%的老年人为男性。多元线性回归显示，在控制协变量后，实验组老年人及其代理人之间在临终关怀方面的不一致差距比对照组减少了 12 分（B=-12.116，p=0.032）。
干预措施提高了老年人及其代理人在临终关怀方面的一致性。
带有卡通图片的决策辅助工具可能会支持对亚洲老年人群体进行临终关怀的讨论。
