Luchins D J, Hanrahan P
Department of Psychiatry, University of Chicago, Illinois.
J Am Geriatr Soc. 1993 Jan;41(1):25-30. doi: 10.1111/j.1532-5415.1993.tb05943.x.
This study sought to determine the kind of health care that professional and family caregivers viewed as appropriate for end-stage dementia patients.
Survey.
All 819 physician members and 1,000 randomly selected non-physician members of the Gerontological Society of America and 500 families of demented relatives from the Alzheimer's Association.
Respondents chose the appropriate level of care from five choices on a continuum from highly aggressive to palliative.
The majority of physicians who cared for elders (61%), gerontologists from other professions (55%), and families (71%) chose palliative care only. Increased age of the respondent and experience with terminal care choices were associated with the choice of palliative care. The majority favored hospice care for patients with end-stage dementia.
Professional and family members of demented individuals, especially if they have experience in terminal care decisions, strongly favor palliative care for end-stage dementia. These findings may be helpful to professionals and families dealing with these choices.
本研究旨在确定专业护理人员和家庭护理人员认为适合晚期痴呆患者的医疗保健类型。
调查。
美国老年学会的所有819名医生成员、随机挑选的1000名非医生成员以及来自阿尔茨海默病协会的500名痴呆亲属的家庭。
受访者从高度积极治疗到姑息治疗的连续统一体的五个选项中选择适当的护理水平。
大多数照顾老年人的医生（61%）、其他专业的老年病学家（55%）和家庭（71%）仅选择姑息治疗。受访者年龄的增加和临终护理选择的经验与姑息治疗的选择有关。大多数人赞成对晚期痴呆患者进行临终关怀。
痴呆患者的专业人员和家庭成员，特别是如果他们有临终护理决策经验，强烈赞成对晚期痴呆患者进行姑息治疗。这些发现可能有助于处理这些选择的专业人员和家庭。
