老年人生命末期经验模式及其与临死疼痛的关联:基于人口的研究
Yijing Li1,2, Xinli Zhang3, Lean Yu3
1Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China.
Palliative medicine
|March 3, 2026
概括
这项研究在老年人中发现了三种不同的生命终结体验模式. "生活得很好,负担得起的照顾者"组报告死亡前期的疼痛最少,突出了生命末期护理的差异.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 卫生社会学 卫生社会学
背景情况:
- 生命末期的经历是多维的,包括身体,社会,照顾和环境因素.
- 以前的研究往往侧重于孤立的因素,限制了对生命终结体验的整体理解.
- 分析老年人生命终结体验中的异质性对于个性化护理策略至关重要.
研究的目的:
- 通过使用综合指标,识别老年人生命终结经历的不同模式.
- 探索人口统计学特征与已识别的生命终结体验模式之间的关联.
- 检查生命末期经验模式与临死期经历的疼痛之间的关系.
主要方法:
- 这是一项采用中国长度健康长寿调查 (CLHLS) 数据的横截面研究.
- 包括2008年至2018年间死亡的老年人 (≥65岁).
- 潜阶级分析确定了基于身体状况,家庭支持,照顾和死亡地点的模式;后勤回归探索了人口统计学和疼痛关系.
主要成果:
- 对15844名已故老年人的分析揭示了三种生命结束经验模式:"有限的伴侣-机构死亡" (14.28%),"功能残疾-家庭照顾" (60.70%),和"生活在负担得起的照顾者" (25.02%).
- 居住在城市地区的女性更有可能属于"功能障碍-家庭护理"类.
- "生活良好,负担得起的照顾者"模式与临死疼痛水平显著降低有关.
结论:
- 解决终身护理中的性别和城乡差异至关重要.
- 扩大获得社区医疗保健资源的机会是关键的优先事项.
- 为家庭护理人员提供全面的培训和支持,对于改善生命终结体验至关重要.
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