Psychological symptoms and end-of-life decision making confidencein surrogate decision-makers of dialysis patients.

The journal of nephrology social work Pub Date : 2012-01-01

Mi-Kyung Song, Sandra E Ward, Laura C Hanson, Feng-Chang Lin, Jill B Hamilton, Gerald Hladik, Jason P Fine, Jessica C Bridgman, Summer K Sun, Margaret S Miles

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Abstract

This cross-sectional descriptive study explored surrogate decision-makers' psychological symptoms and their own assessment of decision-making abilities before actual involvement in end-of-life decision-making for their loved ones. One hundred-twenty dialysis patients' surrogates (79 African Americans and 41 Caucasians) completed scales measuring decision-making confidence, anxiety and depression, Post-Traumatic Symptoms (PTSS), and a sociodemographic questionnaire. Forty-two (35%) and 14 (11.7%) surrogates showed abnormal scores on anxiety and depression, respectively. Seven (5.8%) surrogates showed abnormal scores on PTSS. While surrogates decision making confidence was high (M=17.70, SD=2.88), there was no association between decision-making confidence and the three psychological variables. Surrogates' confidence was associated only with the quality of relationship with patient (r=0.33, p=0.001).

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透析患者代决策人的心理症状与临终决策信心

本横断面描述性研究探讨了替代决策者的心理症状和他们自己在实际参与为亲人做临终决策之前对决策能力的评估。120名透析患者的代理人(79名非裔美国人和41名白种人)完成了决策信心、焦虑和抑郁、创伤后症状(PTSS)和社会人口调查问卷的测量。42名(35%)和14名(11.7%)代孕母亲在焦虑和抑郁方面得分异常。7名(5.8%)代孕母亲PTSS评分异常。虽然代理人的决策信心较高(M=17.70, SD=2.88)，但决策信心与三个心理变量之间没有相关性。代理人的信心仅与患者关系的质量相关(r=0.33, p=0.001)。

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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The journal of nephrology social work

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