Rutgers University, School of Public Health, Department of Health, Behavior, Society, and Policy New Brunswick, New Jersey.
University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, Texas.
Curr Opin Support Palliat Care. 2022 Mar 1;16(1):33-37. doi: 10.1097/SPC.0000000000000583.
The aim of this study was to review the recent literature (2019-2021) on older patients' and their caregivers' understanding of advance care planning.
Recent studies highlight the continued gaps in knowledge about advance care planning for older adults with cancer and their caregivers both domestically and abroad. The recent literature also revealed that there is a lack of research methodology to assess knowledge of advance care planning reliably and validly in older adults with cancer and their caregivers given the lack of uniform scales to measure knowledge of advance care planning.
Older adults with cancer are at an elevated risk of death from their illness, and it is essential they understand how advance care planning can improve their quality of life, facilitate goal congruent care and ultimately decrease medical expenditures at end of life. In order to engage in a process such as advance care planning, patients must know what it is and how it can be helpful to them. The lack of understanding about advance care planning presents a significant barrier to patients engaging in the process. Public health campaigns to increase advance care planning knowledge are needed to ensure that older adults with cancer and their caregivers understand how this service can be helpful to them as they approach end of life.
目的：本研究旨在回顾 2019-2021 年有关老年患者及其照护者对预先医疗指示理解的最新文献。
发现：最近的研究强调了国内外老年癌症患者及其照护者对预先医疗指示的知识仍存在差距。最近的文献还表明，由于缺乏统一的衡量预先医疗指示知识的量表，因此在评估癌症老年患者及其照护者对预先医疗指示的知识方面，缺乏可靠和有效的研究方法。
总结：患有癌症的老年人因疾病而死亡的风险较高，他们必须了解预先医疗指示如何提高生活质量、促进目标一致的护理，并最终减少临终医疗支出。为了参与预先医疗指示等过程，患者必须了解其内容以及如何对他们有所帮助。对预先医疗指示的理解不足，这对患者参与该过程构成了重大障碍。需要开展公共卫生宣传活动，以提高对预先医疗指示的认识，确保老年癌症患者及其照护者了解在接近生命终点时如何从该服务中受益。
