Yun Stacy W, Greenberg Jeff, Maxfield Molly
Department of Psychology, 14676University of Colorado Colorado Springs, Colorado Springs, CO, USA.
Department of Psychology, 8041University of Arizona, Tucson, AZ, USA.
Am J Hosp Palliat Care. 2021 Aug;38(8):972-978. doi: 10.1177/1049909120981577. Epub 2020 Dec 23.
To examine whether demographic, dementia-related, and control-related variables predict preparation for future care needs (PFCN) in a sample of middle-aged and older adults. PFCN is defined in this study as a self-perceived sense of preparedness for one's own future care needs, including general awareness of future care needs, gathering relevant information, decision-making about care preferences, concrete planning, and non-avoidance of care planning.
Participants ( = 122; age 40 to 88 years: = 65.83, = 9.80) completed self-report measures in an in-person study. Hierarchical multiple regression was calculated to predict PFCN.
Being female, having more positive dementia attitudes, higher attribution to powerful others for health condition(s), and more completed end-of-life (EOL) planning significantly predicted greater PFCN.
Findings indicate a positive relationship between objective (completed EOL planning items) and subjective (PFCN) components of planning, thus highlighting the importance of taking concrete steps in EOL planning to yield greater feelings of preparedness, which has been associated with positive psychological outcomes.
在一个中老年人群样本中，研究人口统计学、痴呆相关及对照相关变量是否能预测对未来护理需求的准备情况（PFCN）。本研究中，PFCN被定义为个体对自身未来护理需求的自我感知准备感，包括对未来护理需求的总体认识、收集相关信息、对护理偏好进行决策、具体规划以及不回避护理规划。
参与者（n = 122；年龄40至88岁：M = 65.83，SD = 9.80）在一项现场研究中完成了自我报告测量。计算分层多元回归以预测PFCN。
女性、对痴呆态度更积极、对他人对健康状况的影响力归因更高以及完成更多的临终（EOL）规划显著预测了更高的PFCN。
研究结果表明规划的客观（完成的EOL规划项目）和主观（PFCN）成分之间存在正相关，从而突出了在EOL规划中采取具体步骤以产生更强准备感的重要性，这种准备感与积极的心理结果相关。
