普通人群对预先护理规划的准备程度及相关因素:一项在伊朗进行的横断面研究。

IF 2.5 2区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Ali Askari, Hosein Mohammadi Roshan, Nasim Abbaszadeh, Mahmood Salesi, Seyed Morteza Hosseini, Mobina Golmohammadi, Salman Barasteh, Omid Nademi, Razieh Mashayekh, Mohammad Hossein Sadeghi
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引用次数: 0

摘要

背景:预先护理计划(ACP)是一种表达和记录病人对临终护理偏好的程序,近年来受到越来越多的关注。然而,在伊朗实施 ACP 却面临着挑战:评估伊朗普通人群对预先护理计划的准备程度及相关因素:这项横断面研究于 2022 年在伊朗普通人群中开展。采用人口统计学信息问卷和 RACP 量表收集数据。研究人员向所有参与者解释了研究的目的和方法,并在征得他们同意后获得了知情同意书。为了保护参与者的隐私,我们邀请他们在更方便的地方填写问卷,可以单独填写,也可以在研究人员的帮助下填写。研究人员采用了卡方检验、菲德尔精确检验和多元逻辑回归模型来评估影响 RACP 的有效因素。数据采用 SPSS 软件 26 版进行分析:共有 641 人参与了此次研究,平均年龄(36.85±12.05)岁。其中,377 人(58.8%)的 RACP 偏高。物流模型显示,准备接受 ACP 的几率与参与者的教育水平有关,拥有硕士或博士学位的人准备接受 ACP 的几率是拥有文凭的人的三倍(P = 0.00,OR:3.178(1.672, 6.043))。然而,拥有学士学位的人与拥有文凭的人相比,准备就绪的几率并无明显差异(p = 0.936,OR:0.984 (0.654, 1.479))。此外,与 40 岁以下的参与者相比,40 岁以上的参与者做好准备的几率要高出 1.5(P = 0.01,OR:1.571(1.10,2.23)):根据这项研究的结果,可以得出结论:在伊朗社会中,RACP 在人群中的比例相对较高。随着年龄和教育水平的提高,人们对 ACP 的准备程度也在提高。因此,通过举行适当的培训干预,我们可以提高公众对 ACP 的准备程度,从而改善他们的临终结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Readiness for advance care planning and related factors in the general population: a cross sectional study in Iran.

Context: Advance Care Planning (ACP), as a process for expressing and recording patients' preferences about end-of-life care, has received increasing attention in recent years. However, implementing ACP has been challenging in Iran.

Objectives: To assess the readiness for advance care planning and related factors in the general population of Iran.

Methods: This cross-sectional study was conducted on the general population of Iran in 2022. The data was collected using demographic information questionnaire and The RACP Scale. The purpose and methodology of the research was explained to all participants, and upon their agreement an informed consent was obtained. Participants were invited to fill out the questionnaires wherever is more convenient for them, either alone or if needed, with the help of the researcher to protect their privacy. Chi-square, fisher exact test and multiple logistic Regression model were used to assess the effective factors on the RACP. The data were analyzed by SPSS software version 26.

Results: A total of 641 people with an average age of 36.85 ± 12.05 years participated in this study. Of those, 377 (58.8%) had high RACP. The logistics model showed an association between the chance of readiness for receiving ACP with participants' education level, such that the chance of readiness in those with Master's or Ph.D. degrees was three times higher than those with a diploma (p = 0.00, OR:3.178(1.672, 6.043)). However, the chances of readiness in those with bachelor's degrees was not significantly different from those with a diploma (p = 0.936, OR: 0.984 (0.654, 1.479)). Moreover, the chance of readiness was 1.5 higher in participants over 40 years of age compared with participants under the age of 40 (P = 0.01, OR: 1.571(1.10, 2.23)).

Conclusion: According to the findings of this study, it can be concluded that there is a relatively RACP among people in Iranian society. The readiness of individuals for ACP increases by their age and education level. Therefore, by holding appropriate training intervention, we can increase the readiness of the public for ACP to improve their end-of-life outcome.

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来源期刊
BMC Palliative Care
BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
9.70%
发文量
201
审稿时长
21 weeks
期刊介绍: BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.
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