社区长者居家生活临终照护需求程度及对先前延长生命医疗决定的态度

S. Kim, So-young Kim, M. Jo
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引用次数: 0

摘要

本研究旨在通过了解社区长者对临终关怀的需求程度,以及对先前延年医疗决策的态度,为在超老龄化时代建立基于社区的居家临终关怀体系提供基本的实践参考。在数据收集方面,采用问卷调查的方式,由研究助理对1310名65岁以上老年人进行调查。对收集到的数据,采用SPSS 26.0程序进行描述性统计、独立t检验、单因素方差分析和Pearson相关系数分析。在老年人居家生活中对临终关怀的需求程度方面,需求程度的平均得分为4.09,高于中位数。此外,对安全推广的支持需求最高。态度与既往延长生命治疗决定的平均得分为2.98分。同时,两个变量呈正相关。基于研究结果,对于未来居家老人的临终关怀体系,需要一个综合反映身体、心理、社会和精神需求的关怀体系。此外,为保障老年人的自主权,必须提供有关先前延长生命的医疗决定的教育和咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Degree of the Demand for Caring at the End of Life in the Home Life of the Elderly Residing in the Community and the Attitude Regarding the Prior Life-prolonging Medical Treatment Decision
The purpose of this study was to provide a basic practices reference for establishing a home life end of life caring system based on the community in the super-aging era, by confirming the degree of the demand for the caring at the end of the life of the elderly residing in the community as well as the attitude regarding the prior life-prolonging medical treatment decision. Regarding the collection of the data, a questionnaire survey investigation was conducted with a research assistant of 1,310 elderly age 65. Regarding the data collected, by using the SPSS 26.0 program, it was analyzed with descriptive statistics, independent t-test, the one-way ANOVA, and the Pearson correlation coefficient. Regarding the degree of the demand for the caring at the end of life in the home life of the elderly, the mean score for degree of demand was 4.09 that was higher than the middle. Additionally, the support demand for the safety promotion was the highest. The mean score regarding the attitude, in relation to the prior life-prolonging medical treatment decision was 2.98. Also, the two variables showed a positive correlation. Based on the results, regarding the system for the caring at the end of life for the elderly who had been living at home in the future, a caring system that reflects the physical, psychological, social, and spiritual demand in an integral way is needed. Additionally, the education as well as counseling regarding the prior life-prolonging medical treatment decision for guaranteeing the autonomy of the elderly, must be included indispensably.
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