School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
School of Social Work, San Diego State University, San Diego, CA 92182, USA.
Int J Environ Res Public Health. 2022 Jul 27;19(15):9197. doi: 10.3390/ijerph19159197.
Hospice care is a comprehensive approach addressing patients' physical, psychosocial, and spiritual needs at the end of life (EoL). Despite the recognition of its effectiveness in improving the quality of EoL care, little is known about hospice care in mainland China. In this study, we aimed to examine the preferences for hospice care and its related factors among community-dwelling residents in mainland China. Participants were recruited using a convenience sampling method, and 992 community-dwelling residents responded to an online survey from June 2018 to August 2019. The majority (66.7%) of the participants were female, and the mean age was 48.4 years. Approximately 28% of the participants had heard of hospice care, and 91.2% preferred to receive hospice care if diagnosed with a terminal illness. Participants who had heard of hospice care, and with higher levels of education (bachelor's degree or above) and health insurance coverage were more likely to accept hospice care than their counterparts. Community-based education on hospice care is imperative to improve public knowledge and the acceptance of hospice care. Meanwhile, there is a need to develop policies to integrate and expand hospice care into clinical settings.
临终关怀是一种综合方法,旨在满足患者在生命末期(EoL)的身体、心理社会和精神需求。尽管临终关怀在改善 EoL 护理质量方面的有效性已得到认可,但对于中国大陆的临终关怀知之甚少。在这项研究中,我们旨在调查中国大陆社区居民对临终关怀的偏好及其相关因素。研究采用方便抽样法招募参与者,共有 992 名社区居民于 2018 年 6 月至 2019 年 8 月期间在线回答了问卷。大多数(66.7%)参与者为女性,平均年龄为 48.4 岁。约 28%的参与者听说过临终关怀,91.2%的参与者如果被诊断为绝症,更愿意接受临终关怀。与未听说过临终关怀的参与者相比,听说过临终关怀的参与者,以及具有较高教育程度(本科及以上)和医疗保险覆盖范围的参与者更有可能接受临终关怀。需要开展社区临终关怀教育,以提高公众对临终关怀的认识和接受度。同时,需要制定政策,将临终关怀纳入临床实践中。