与生活意志相关的因素在芬兰接受长期护理的老年人中
Paula Andreasen1,2, Leena Forma3,4, Ilkka Pietilä1
1University of Helsinki, Helsinki, Finland.
Palliative care and social practice
|November 30, 2023
概括
在芬兰,21%的老年长期护理接受者持有生活遗嘱. 女性性别,代理决策者和功能能力等因素影响其流行,突出了护理不平等.
科学领域:
- 老年学是一门学科.
- 医疗保健政策 医疗保健政策
- 生物伦理学生物伦理学
背景情况:
- 活着的遗嘱对于老年人的自主权和未来的护理计划至关重要.
- 很少有研究探讨影响长期护理受益人生活意志的因素.
研究的目的:
- 确定芬兰长期护理机构中老年人中活命遗嘱的流行情况.
- 检查社会人口因素,功能能力和生活意志状况之间的关联.
主要方法:
- 在芬兰 (2016-2017年) 使用了来自10,178名老年人 (≥65岁) 的居民评估仪器 (RAI) 数据.
- 使用交叉表格与千平方测试和调整的二进制逻辑回归来识别相关因素.
主要成果:
- 21%的参与者有生活遗嘱; 患病率因护理环境而异 (辅助生活25%,住宅护理20%,家庭护理15%).
- 发现与女性性别,代理决策者,年龄增长,功能能力受损,健康不稳定以及接近死亡的重大关联.
- 在家护理和24小时长期护理受益者之间观察到实质性的差异.
结论:
- 根据护理服务和个人因素,生活准备会有很大的差异.
- 解决终身护理中的不平等问题需要及时预先进行护理规划干预.
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