Yu Andrew
College of Arts, Humanities & Social Sciences, The University of Edinburgh, Edinburgh EH8 9JU, UK.
Healthcare (Basel). 2022 Feb 17;10(2):384. doi: 10.3390/healthcare10020384.
(1) Background: Hong Kong is experiencing population aging, but there is little research on advance care planning. This research asks for community-dwelling older adults' views on advance care planning in order to provide a different angle to the results collected from nursing homes and hospitals. (2) Methods: The targeted respondents were people aged 55 or above. A total of 282 questionnaires were collected using the random sampling method. Respondents were asked whether they would make an advance care plan, whether they would prepare for their death, and whether they had received any death education; they were also given eight statements related to treatments and decision making. (3) Results: The study found that only 17% of the respondents would like to use advance care planning, even after it was explained to them. Advance care planning favorers would be more likely to insist on having wills and would be more likely to trust doctors rather than family members. (4) Conclusions: The results also suggested that the medical care and social support for end-of-life patients should be improved. The results also showed the importance of medical professionals as they showed that respondents wanted advice on end-of-life decision-making from medical professionals.
(1) 背景：香港正面临人口老龄化问题，但关于预立医疗照护计划的研究却很少。本研究旨在询问社区居住的老年人对预立医疗照护计划的看法，以便从养老院和医院收集的结果中提供不同的视角。(2) 方法：目标受访者为55岁及以上的人群。采用随机抽样方法共收集了282份问卷。询问受访者是否会制定预立医疗照护计划，是否会为自己的死亡做准备，以及是否接受过任何死亡教育；还向他们提供了与治疗和决策相关的八条陈述。(3) 结果：研究发现，即使向受访者解释了预立医疗照护计划，也只有17%的受访者愿意使用它。倾向于预立医疗照护计划的人更有可能坚持立遗嘱，并且更有可能信任医生而不是家人。(4) 结论：结果还表明，应改善对临终患者的医疗护理和社会支持。结果还显示了医疗专业人员的重要性，因为受访者表示希望从医疗专业人员那里获得临终决策方面的建议。
