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Attitudes towards advance-care planning and its influencing factors among elderly inpatients and their family members / 中华老年医学杂志
Chinese Journal of Geriatrics ; (12): 653-657, 2020.
Article in Chinese | WPRIM | ID: wpr-869445
ABSTRACT

Objective:

To survey the attitudes and influencing factors towards advance -care planning(ACP)among elderly inpatients and their family members.

Methods:

A total of 197 elderly inpatients and 248 family members were enrolled by using a convenience sampling method, and they were investigated by a questionnaire.The differences in attitudes towards the nutrition support in the state of frailty and the advanced life support at the end of life between patients and their family members, and the influencing factors for making a living will were analyzed.

Results:

Compared with elderly inpatients, the proportions of their family members, who had heard of ACP/advance directives(ADs)(58.9% or 146/248 vs.41.6% or 82/197, χ2=13.070, P=0.000), who had discussed death(89.9% or 223/248 vs.55.3% or 109/197, χ2=69.334, P=0.000), who would make a living will(88.7% or 220/248 vs.46.7% or 92/197, χ2=92.461, P=0.000), who would know the true condition(97.2% or 241/248 vs.89.8% or 177/197, χ2=10.349, P=0.001), were significantly elevated.Towards the choice of tube feeding, percutaneous endoscopic gastrojejunostomy and deep-vein catheter insertion, family members had more positive attitudes than did patients themselves( χ2=42.996, 11.446 and 27.704, P=0.000, 0.003 and 0.000). Towards the life support during end-of-life including ventilator-assisted ventilation, electric defibrillation, extracorporeal cardiac compression and hemodialysis, there was no significant difference in attitudes between patients and family members( χ2=0.569, 1.866 and 4.337, P=0.752, 0.393 and 0.114), and the proportion of disapproval was higher in family members.The influencing factors for making a living will were the awareness of ACP/ADs( OR=0.187, 95% CI 0.096-0.366, P=0.000)and having discussed death with family members( OR=0.450, 95% CI 0.231-0.878, P=0.019).

Conclusions:

The proportion of elderly inpatients who are willing to make a living will is low in China, and its influencing factors are the awareness of ACP/ADs and having discussed death with family members.Thus, the promotion and education of ACP/ADs should be strengthened.
Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2020 Type: Article