Phillips Laura L, Allen Rebecca S, Salekin Karen L, Cavanaugh Ronald K
Michael E. DeBakey VA Medical Center, Houston, Texas.
University of Alabama, Tuscaloosa.
Crim Justice Behav. 2009 Jun;36(6):620-634. doi: 10.1177/0093854809334442. Epub 2009 May 7.
The authors examined age at the end of prison sentence, race, and psychosocial factors on end-of-life treatment preferences among 73 male inmates (28 nonlifers, 45 lifers) from the Alabama Aged and Infirmed Correctional Facility. All measures (e.g., Brief Symptom Inventory, Death Anxiety Scale) were administered in an interview format. A significant amount of variance in treatment preferences for cardiopulmonary resuscitation, feeding tube, and palliative care was predicted by race, lifer status, and death anxiety. Inmates who were members of minority groups, nonlifers, and those with high death anxiety expressed greater desire for a feeding tube, whereas inmates who were Caucasian or lifers expressed a greater desire for palliative care. Given the aging of the inmate population and increasing health care costs, further exploration of end-of-life treatment preferences among older inmates is warranted.
作者对来自阿拉巴马老年及体弱惩教所的73名男性囚犯（28名非终身监禁者，45名终身监禁者）的刑期结束时的年龄、种族和心理社会因素对临终治疗偏好的影响进行了研究。所有测量工具（如简明症状量表、死亡焦虑量表）均以访谈形式进行施测。种族、终身监禁状态和死亡焦虑预测了心肺复苏、喂食管和姑息治疗的治疗偏好方面的大量差异。少数群体成员、非终身监禁者以及死亡焦虑程度高的囚犯对喂食管的需求更大，而白人或终身监禁者对姑息治疗的需求更大。鉴于囚犯人口老龄化以及医疗保健成本不断增加，有必要进一步探索老年囚犯的临终治疗偏好。
