Sansone P, Phillips M
Frances Schervier Home and Hospital, Bronx, NY 10463, USA.
Soc Work. 1995 May;40(3):397-401.
This article examines whether elderly individuals who had executed an advance directive for health care were more likely to have their wishes understood by their designated surrogates than elderly individuals who had not executed an advance directive. A sample of 153 elderly people was drawn from two nursing homes and two senior citizen housing complexes; 40 of the participants had executed an advance directive. Concordance was measured using six hypothetical health care scenarios and was evaluated by assessing the percentage of agreement and directionality of discordant responses. The mere completion of an advance directive did not guarantee a surrogate decision maker's awareness of the older person's wishes. Education, communication, and supportive intervention are also needed. As educators, facilitators, and enablers, social workers are well suited for this role.
本文探讨了签署了医疗预先指示的老年人是否比未签署医疗预先指示的老年人更有可能让其指定代理人理解他们的意愿。从两家养老院和两个老年公寓抽取了153名老年人作为样本；其中40名参与者签署了医疗预先指示。使用六个假设的医疗场景来衡量一致性，并通过评估不一致回答的一致百分比和方向性来进行评估。仅仅签署医疗预先指示并不能保证替代决策者了解老年人的意愿。还需要教育、沟通和支持性干预。作为教育者、促进者和推动者，社会工作者非常适合这一角色。
