Religiosity and Death Attitudes and Engagement of Advance Care Planning Among Chronically Ill Older Adults

被引：18

作者：

Dobbs, Debra ^{[1
]}

Emmett, Catherine Parsons ^{[1
]}

Hammarth, Ashley ^{[2
]}

Daaleman, Timothy P. ^{[3
]}

机构：

[1] Univ S Florida, Sch Aging Studies, Tampa, FL 33620 USA

[2] Visiting Nurse Serv New York, New York, NY USA

[3] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Program Aging Disabil & Long Term Care, Chapel Hill, NC USA

来源：

RESEARCH ON AGING | 2012年 / 34卷 / 02期

关键词：

advance care planning; religiosity; death attitudes; chronically ill older adults; OF-LIFE CARE; MEDICAL TREATMENTS; CONTROLLED-TRIAL; HEALTH SURVEY; END; DIRECTIVES; PATIENT; PREFERENCES; COMPLETION; QUALITY;

D O I：

10.1177/0164027511423259

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

The aim of this study was to examine the association of religiosity and death attitudes with self-reported advance care planning (ACP) in chronically ill older adults. Survey data were collected in person for a sample of 157 chronically ill older adults drawn from primary care clinics in North Carolina. Logistic regression was used to examine associations of religiosity and death attitudes in the likelihood of engagement in three ACP outcomes: (a) ACP discussions with the doctor, (b) ACP discussions with family, and (c) the completion of a living will. Greater reported religiosity (b = 1.67, p < .01) was significantly associated with reported ACP discussions with the doctor (R-2 = .29, model significance p < .01). Less fear of death was significantly associated (b = -0.41, p < .01) with self-reported completion of a living will (R-2 = .21, model significance p < .01). Religiosity and fears of death should be considered in future ACP studies.

引用

页码：113 / 130

页数：18

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