Preferences for Feeding Tube Use and Their Determinants Among Cognitively Intact Nursing Home Residents in Wuhan, China: A Cross-Sectional Study

被引:6
作者
Ni, Ping [1 ]
Ko, Eunjeong [2 ]
Mao, Jing [1 ]
机构
[1] Huazhong Univ Sci & Technol, Wuhan, Hubei, Peoples R China
[2] San Diego State Univ, San Diego, CA 92182 USA
关键词
feeding tube; nursing home; Chinese; LIFE-SUSTAINING TREATMENT; CARE PREFERENCES; END; CAREGIVERS; WITHDRAWAL; STABILITY; NUTRITION; DECISIONS; HYDRATION; ILLNESS;
D O I
10.1177/1043659619832078
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Introduction: Standard advance care planning practice is yet to be established in Mainland, China, and little is known about feeding tube preferences among Chinese nursing home residents. The purpose of the study was to examine preferences for feeding tube use and its predictors among frail and cognitively competent nursing home residents in Wuhan, China. Method: A cross-sectional sample of 682 nursing home residents were interviewed face-to-face using a structured questionnaire from 2012 to 2014. Results: A total of 54.5% of participants would accept feeding tube. Participants who reported greater quality of life (odds ratio [OR] = 2.67), having health insurance (OR = 2.09) were more willing to accept feeding tube. Participants with greater impairment in physical health (OR = 0.94) were less willing to accept it. Discussion: Health care professionals need to routinely assess nursing home residents' feeding tube preferences. It is imperative to consider sociocultural perspectives in understanding Chinese older adults' decision making for end-of-life care.
引用
收藏
页码:13 / 21
页数:9
相关论文
共 42 条
[1]  
[Anonymous], 2018, QINGD EL NEWS REP
[2]   Stability of End-of-Life Preferences A Systematic Review of the Evidence [J].
Auriemma, Catherine L. ;
Nguyen, Christina A. ;
Bronheim, Rachel ;
Kent, Saida ;
Nadiger, Shrivatsa ;
Pardo, Dustin ;
Halpern, Scott D. .
JAMA INTERNAL MEDICINE, 2014, 174 (07) :1085-1092
[3]   Tools to Promote Shared Decision Making in Serious Illness A Systematic Review [J].
Austin, C. Adrian ;
Mohottige, Dinushika ;
Sudore, Rebecca L. ;
Smith, Alexander K. ;
Hanson, Laura C. .
JAMA INTERNAL MEDICINE, 2015, 175 (07) :1213-1221
[4]   Living in uncertain times: trajectories to death in residential care homes [J].
Barclay, Stephen ;
Froggatt, Katherine ;
Crang, Clare ;
Mathie, Elspeth ;
Handley, Melanie ;
Iliffe, Steve ;
Manthorpe, Jill ;
Gage, Heather ;
Goodman, Claire .
BRITISH JOURNAL OF GENERAL PRACTICE, 2014, 64 (626) :E576-E583
[5]  
Beijing Advance Directive Promotion Association Peoples' Republic of China, 2013, CHOIC DIGN
[6]   Chinese seniors' perspectives on end-of-life decisions [J].
Bowman, KW ;
Singer, PA .
SOCIAL SCIENCE & MEDICINE, 2001, 53 (04) :455-464
[7]   Feeding: What It Means to Patients and Caregivers and How These Views Influence Singaporean Chinese Caregivers' Decisions to Continue Feeding at the End of Life [J].
Chai, Hui Zhong ;
Krishna, Lalit Kumar Radha ;
Wong, Victoria Hwei May .
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2014, 31 (02) :166-171
[8]  
Chan H. Y., 2006, C QUAL LIF RES AS HO
[9]   Quality of life concerns and end-of-life care preferences of aged persons in long-term care facilities [J].
Chan, Helen Y. L. ;
Pang, Samantha M. C. .
JOURNAL OF CLINICAL NURSING, 2007, 16 (11) :2158-2166
[10]  
Chi I., 1993, CLIN GERONTOLOGIST, V24, P452, DOI [10.1300/J018v13n04_04, DOI 10.1300/J018V13N04_, DOI 10.1300/J018V13N04_04]