Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea

被引:9
作者
Hwang, Hyeyoung [1 ]
Yang, Sook Ja [1 ]
Jeong, Sarah Yeun-Sim [2 ]
机构
[1] Ewha Womans Univ, Coll Nursing, 52 Ewhayeodae Gil Seodaemun Gu, Seoul 03760, South Korea
[2] Univ Newcastle, Sch Nursing & Midwifery, POB 127, Ourimbah, NSW 2258, Australia
关键词
Life-sustaining treatment; Preference; Older inpatient; Family caregiver; INTENSIVE-CARE; DECISION-MAKING; ADVANCE DIRECTIVES; PHYSICIAN ORDERS; END; NURSES; CANCER; WITHDRAWAL; ATTITUDES; ISSUES;
D O I
10.1016/j.gerinurse.2017.12.015
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
This descriptive cross-sectional survey aimed to investigate the preferences of older inpatients and their family caregivers for life-sustaining treatments (LSTs) and their influential factors. Inpatients aged 60 and older and their family caregivers in three acute hospitals in Seoul, South Korea, were invited to participate in the study. A total of 180 surveys were returned from 90 pairs of patients and family caregivers with a response rate of 95%. Older inpatients expressed a significantly high desire for "not wanting to have cardiopulmonary resuscitation" (chi(2) = 10.07, p = 0.007) and "mechanical ventilator" (chi(2) =1035, p= 0.006) compared to their caregivers Given that experiences of conversations about LSTs was a common factor in both groups and may prevent futile LSTs, it is important for nurses to initiate and support patients and family caregivers, helping them engage in formal and informal conversations about future healthcare preferences. (C) 2017 Published by Elsevier Inc.
引用
收藏
页码:428 / 435
页数:8
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