提前护理规划中的性别和夫妇身份差异:一个横截面研究
Kristin R Baughman1, Ruth Ludwick2,3, Ashley Audi4
1Department of Family and Community Medicine, Northeast Ohio Medical University, 4209 State Route 44, PO Box 95, Rootstown, OH 44272, USA.
Palliative care and social practice
|October 9, 2024
概括
性别和生活状况显著影响预先护理计划 (ACP). 女性,尤其是没有伴侣的女性,更有可能讨论生命末期的愿望. 医疗保健提供者应该让伴侣家庭的妇女和没有伴侣的男性参与ACP福利.
科学领域:
- 老年学是指老年学的学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 以前对影响预先护理计划 (ACP) 的性别和婚姻状况的研究已经产生了不一致的结果.
- 在ACP上,性别和与配偶或伴侣生活之间的相互作用尚未得到充分研究.
研究的目的:
- 调查性别和夫妻关系在非洲和非洲国家和地区实践中的相互作用.
- 检查了对书面指示,医疗保健持久授权权 (DPOAHC) 和终身决定的讨论的影响.
主要方法:
- 利用了来自健康和退休研究 (HRS) 的横截面数据.
- 分析了632名已故受访者的数据,使用代理信息人.
- 采用了通用线性混合模型来评估主要影响和相互作用.
主要成果:
- 与男性相比,女性更容易指定DPOAHC并讨论她们的愿望.
- 单独生活的女性比单独生活的男性或伴侣中的人更有可能讨论生命结束的偏好.
- 情侣身份和性别是影响非洲和非洲国家和地区参与的关键因素.
结论:
- 性别和夫妇身份是预先护理计划行为的重要预测因素.
- 医疗保健提供者应该主动教育处于恋爱关系中的女性和单身男性了解ACP的重要性和好处.
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