[What really matters can't be planned ahead : Impediments for advance care planning from a qualitative study on very old people living alone].

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-07 DOI:10.1007/s00391-025-02414-8

Sabine Pleschberger, Paulina Wosko

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引用次数: 0

Abstract

Background: Despite there is evidence for the need for advance care planning for older people living alone (OPLA), especially if they want to stay at home until the end, utilization of measures for ACP remains rather scarce. The causes for this discrepancy have not yet been researched in this target group.

Objectives: Aim of this study was to get insight into the perspectives of OPLA in the community on planning ahead for the end of life.

Materials and methods: (Secondary) Analysis of 26 qualitative interviews. 17 were from the Austrian Survey on the very old (ÖIHS), and 9 additional interviews were conducted with a specific focus on advance care planning to enrich the data base. Verbatim transcripts were analysed by applying coding procedures.

Results: Not all people had specific concerns or a desire to deal with the end of life. In contrast to others, concerns about avoiding (unnecessary) life-prolonging measures resulted in a formal regulation, usually a living will. Staying at home or issues regarding burial and inheritance were often equally important concerns for OPLA. Numerous obstacles to formal arrangements were identified.

Conclusion: The heterogeneity of OPLA with regard to their willingness and form of planning ahead for staying at home shows the limits of standardized procedures. Comprehensive approaches to advance care planning that go beyond health issues are needed to meet the concerns of OPLA in the community.

查看原文本刊更多论文

[真正重要的是不能提前计划：一项对独居老人的定性研究对提前护理计划的阻碍]。

背景：尽管有证据表明需要对独居老人（oppla）进行预先护理计划，特别是如果他们想呆在家里直到生命的最后，但对ACP措施的利用仍然相当少。这种差异的原因尚未在这一目标群体中得到研究。目的：本研究的目的是了解OPLA在社区中对临终计划的看法。材料与方法：（二次）26次定性访谈分析。17人来自奥地利高龄老人调查（ÖIHS），另外9人进行了额外的访谈，特别关注提前护理计划，以丰富数据库。应用编码程序对逐字抄本进行分析。结果：并不是所有的人都有特殊的担忧或渴望处理生命的终结。与其他国家相反，为了避免（不必要的）延长生命的措施，人们制定了正式的规定，通常是生前遗嘱。呆在家里或关于埋葬和继承的问题往往是oppla同样关心的问题。确定了妨碍正式安排的许多障碍。结论：oppla在居家意愿和居家计划形式方面存在异质性，说明标准化程序存在局限性。需要采取全面的办法，推进超越健康问题的护理规划，以满足社区中oppla关注的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift Fur Gerontologie Und Geriatrie 医学-老年医学

CiteScore

2.00

自引率

16.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.