预先护理计划中的性别和夫妻身份差异:一项横断面研究。

IF 2.7 Q2 HEALTH CARE SCIENCES & SERVICES
Palliative Care and Social Practice Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1177/26323524241287221
Kristin R Baughman, Ruth Ludwick, Ashley Audi, Laura Harlan
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引用次数: 0

摘要

背景:过去的研究显示,性别和与配偶或伴侣同住对预先护理计划(ACP)的影响不一。很少有研究对这两个变量之间的相互作用进行测试:我们研究了性别和夫妻状态如何相互作用,影响包括书面说明、指定医疗保健持久授权书(DPOAHC)以及与他人讨论自己的决定在内的预先护理计划实践的使用:我们使用了健康与退休研究(Health and Retirement Study)中的横断面数据,这是一项针对美国 50 岁以上成年人的纵向研究:数据来自在 2016 年核心调查和 2018 年退出调查之间死亡的 632 名受访者。参与者完成了 2016 年的调查,并在去世后由代理信息提供者完成了 2018 年的退出调查。采用广义线性混合模型检验主效应和交互作用:与男性相比,女性更有可能指定一位 DPOAHC 并与他人讨论自己的意愿。没有伴侣的女性比没有伴侣的男性更有可能与家人或他人讨论自己的意愿:结论:性别和夫妻身份都是与 ACP 实践相关的重要变量。医疗服务提供者可能希望与生活在夫妻家庭中的女性和没有伴侣的男性接触,以确保他们了解 ACP 的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender and couple status differences in advance care planning: a cross-sectional study.

Background: Past studies have shown mixed results on how gender and living with a spouse or partner impact advance care planning (ACP). Few if any have tested for the interaction between these two variables.

Objective: We examined how gender and couple status interact to impact the use of ACP practices including written instructions, designating a durable power of attorney for healthcare (DPOAHC), and discussing one's decisions with others.

Design: We used cross-sectional data taken from the Health and Retirement Study, a longitudinal study of adults over the age of 50 in the United States.

Methods: Data are from 632 respondents who died between the 2016 core survey and the 2018 exit survey. Participants had completed the 2016 survey and had a proxy informant complete the 2018 exit survey after their death. Generalized linear mixed models were used to test for main effects and interactions.

Results: Women were more likely than men to designate a DPOAHC and to discuss their wishes with others. Women living without a partner were more likely than men living without a partner and coupled households to discuss their wishes with family or others.

Conclusion: Both gender and couple status are important variables associated with ACP practices. Healthcare providers may want to reach out to women living within a coupled household and men living without a partner to ensure that they know the benefits of ACP.

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来源期刊
Palliative Care and Social Practice
Palliative Care and Social Practice Nursing-Advanced and Specialized Nursing
CiteScore
2.90
自引率
0.00%
发文量
37
审稿时长
9 weeks
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