影响癌症老年人预先护理计划的因素
Jyotsana Parajuli1, Amanda Walsh2, Amy Hicks3
1University of North Carolina at Charlotte, School of Nursing, USA.
Journal of geriatric oncology
|July 31, 2024
概括
在患有癌症的老年人中,提前护理计划 (ACP) 完成是常见的,年龄,种族和教育等因素影响了讨论和文档. 为了了解这些关联,需要对不同人群进行进一步的研究.
科学领域:
- 老年学是指老年学的学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 提前护理计划 (ACP) 建议用于改善终身护理 (EOL) 和患者满意度.
- 很少有人知道非洲和非洲国家完成率以及癌症老年人的影响因素.
研究的目的:
- 检查影响癌症老年人的生物,心理和社会因素.
主要方法:
- 来自健康和退休研究 (2002-2016) 的退出面试数据的分析.
- 样本包括1088名55岁以上患有癌症的已故患者,数据来自代理受访者.
- 后勤回归模型评估了预测因素和EOL护理讨论,持久授权 (DPOA) 和预先指示 (ADs) 之间的关联.
主要成果:
- 大约65%的人讨论了EOL护理,61.9%的人患有DPOA,54.1%的人患有ADS.
- 更高的年龄,黑人种族,高等教育,寡妇/从未结婚的身份,更高的多病率和功能限制与ACP完成有关.
- 黑人种族对EOL讨论和AD的几率更高;高等教育对所有非洲和非洲的成分的几率更低.
结论:
- 在这项研究中,大多数患有癌症的老年人参与了ACP.
- 黑人种族和高等教育与非洲和非洲国家和地区的成果之间的关联需要进一步调查.
- 未来的研究应该专注于更多的多样化和少数群体,以了解ACP完成因素.
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