Department of Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, FL, USA.
Department of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, FL, USA.
Am J Hosp Palliat Care. 2024 Apr;41(4):363-372. doi: 10.1177/10499091231186819. Epub 2023 Jun 28.
Palliative care (PC) helps maintain quality of life for seriously ill patients, yet, many Americans lack knowledge of PC.
To explore the relationships between knowledge of PC of individuals living in north-central Florida and throughout the United States.
This cross-sectional survey with three sampling approaches, one was a community-engaged sample and two were panel respondent samples. Respondents and setting: Respondents of the Florida sample (n = 329) and the community-engaged sample (n = 100), were representative of the 23 Florida county general population. Respondents of the national sample (n = 1800) were adult members of a panel owned by a cloud-based survey platform.
Young adults compared with adults (OR 1.62, 95% CI 1.14-2.28, .007), middle-adults (OR 2.47, 95% CI 1.58-3.92, < .001) and older-adults (OR 3.75, 95% CI 2.50-5.67, < .001) were less likely to agree that the goal of PC is to help friends and family cope with a patient's illness, and that the goal of PC is to manage pain and other physical symptoms compared with adults (OR 1.67, 95% CI 1.20-2.30, .002) middle-adults (OR 2.58, 95% CI 1.71-3.95, < .001) and older-adults (OR 7.19, 95% CI 4.68-11.2, < .001). Participants with greater rural identity (OR 1.39, 95% CI 1.31-1.48, < .001) were more likely to agree that accepting PC means giving up.
Increased knowledge of PC might be influenced through targeting educational interventions and educating the general population through social media use.
姑息治疗(PC)有助于维持重病患者的生活质量,但许多美国人对 PC 缺乏了解。
探讨居住在佛罗里达州中北部和全美各地的个人对 PC 的认识之间的关系。
这项横断面调查采用了三种抽样方法,一种是社区参与式抽样,另外两种是小组应答者抽样。
佛罗里达州样本(n=329)和社区参与式样本(n=100)的受访者代表了佛罗里达州 23 个县的一般人群。全国样本(n=1800)的受访者是一家云服务调查平台拥有的小组的成年成员。
与成年人相比,年轻人(OR 1.62,95%CI 1.14-2.28,.007)、中年人(OR 2.47,95%CI 1.58-3.92, <.001)和老年人(OR 3.75,95%CI 2.50-5.67, <.001)更不可能同意 PC 的目标是帮助朋友和家人应对患者的疾病,以及 PC 的目标是管理疼痛和其他身体症状,与成年人相比(OR 1.67,95%CI 1.20-2.30,.002)、中年人(OR 2.58,95%CI 1.71-3.95, <.001)和老年人(OR 7.19,95%CI 4.68-11.2, <.001)。具有更强农村身份认同的参与者(OR 1.39,95%CI 1.31-1.48, <.001)更有可能同意接受 PC 意味着放弃。
通过针对教育干预措施并通过社交媒体使用对普通大众进行教育,可能会提高对 PC 的认识。