摘要
目的了解老年人生命晚期获知疾病相关信息意向及影响因素。方法2016年10月至2017年6月,采用生命晚期疾病信息意向问卷,利用方便抽样法对福州市中心城区7所养老机构及15个社区的414例年龄≥60岁的老年人进行横断面调查,采用单因素分析、多元线性回归与有序多分类logistic回归分析老年人对疾病相关信息的需求水平、获知程度意向及其影响因素。结果414例老年人疾病相关信息需求得分为(17.1±4.9)分;48.8%(202/414)希望详尽知晓,30.7%(127/414)希望选择性了解,20.5%(85/414)不想知道任何信息;多元线性回归分析显示,年龄、文化程度、是否接受/见过其他生命维持治疗(LSTs)是影响老年人疾病相关信息需求水平的主要因素(标准化回归系数分别为-0.141、0.116、0.115,均P<0.05);有序多分类logistic分析显示,年龄(以60~69岁为参照,70~79岁:OR=0.544,95%CI:0.310~0.957;80~89岁:OR=0.526,95%CI:0.289~0.956)、文化程度(以小学及以下为参照,大专及以上:OR=2.166,95%CI:1.093~4.290)、主要生活费来源(以其他补贴为参照,家人支持:OR=7.303,95%CI:1.157~46.108;退休金:OR=9.288,95%CI:1.502~57.415;公积金/储蓄:OR=15.676,95%CI:2.122~115.793)、是否接受/见过其他LSTs(以是为参照,OR=1.985,95%CI:1.150~3.425)是影响老年人疾病相关信息获知程度意向的主要因素。结论老年人生命晚期获知疾病相关信息的意向程度较高,年龄、文化程度、主要生活费来源、是否接受/见过其他生命维持治疗等是其主要影响因素。
Objective To investigate the intention to obtain disease related information and its influencing factors among the elderly at their end-of-life stage.Methods A cross-sectional survey was conducted among 414 elderly people aged≥60 in 7 long-term residential care facilities and 15 communities in the central urban area of Fuzhou using the late-life care preference questionnaire from October 2016 to June 2017.Univariate analysis,multiple linear regression analysis and ordered multi-classification logistic regression analysis were used to identify information preference of the disease-related information and influencing factors among the elderly.Results The level of disease-related information needs of the elderly was scored(17.1±4.9);48.8%(202/414)preferred detailed or maximum information;30.7%(127/414)wanted selective and partial information;20.5%(85/414)did not want to know any information.Multiple linear regression analysis showed that age,education,and whether or not they had received or seen other life-sustaining treatments were the main factors affecting the level of disease-related information needs(standardized regression coefficients were-0.141,0.116,0.115,all P<0.05);ordered multi-classification logistic regression analysis showed that age(compared with 60-69 years old,70-79 years old:OR=0.544,95%CI:0.310-0.957;80-89 years old:OR=0.526,95%CI:0.289-0.956),education level(compared with primary school and below,college or above:OR=2.166,95%CI:1.093-4.290),main sources of living expenses(compared with other allowance,family support:OR=7.303,95%CI:1.157-46.108,pension:OR=9.288,95%CI:1.502-57.415;provident fund scheme/saving:OR=15.676,95%CI:2.122-115.793),whether or not they had received or seen other life-sustaining treatments(compared with yes,OR=1.985,95%CI:1.150-3.425)were the main factors affecting the level of disease-related information needs.Conclusions Most of the elderly prefer to know disease-related information.Age,educational level,main sources of living expenses and whether or not they had receiv
作者
卫逸涛
肖惠敏
谢银环
孙丽军
Wei Yitao;Xiao Huimin;Xie Yinhuan;Sun Lijun(School of Nursing,Fujian Medical University,Fuzhou 350122,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2022年第8期547-552,共6页
Chinese Journal of Health Management
关键词
老年人
疾病
信息获取
影响因素
Aged
Disease
Access to information
Influencing factor
