Life-Sustaining Treatment: A Comparison of the Preferences of Taiwanese Older Adults and Their Family Caregiver

台灣老人及其家人對維生處置的決定傾向

10.1097/JNR.0000000000000006

吳麗珍(Suen Lee-Jen W.)；李浩銑(Hao-Hsien Lee)；Diana Lynn Morris

維生處置決定 ； 老人 ； 家人 ； life-sustaining treatment ； older adults ； family members

The Journal of Nursing Research

21卷4期（2013 / 12 / 01）

261 - 269

英文

背景　在台灣，預立遺囑還不是非常普及。因此，對於病危老年患者是否進行維生處置，多數是由其家人做決定。目的　比較老人本身及其家人對於老人在不同健康情境時的維生決定傾向。方法　採橫斷式比較描述性研究，研究對象包括95對社區老人及其家人。使用修改版的Life Support Preferences Questionnaire用以測量維生處置意願傾向，所得資料以paired-sample t-test進行分析。結果　在8種不同健康情況和4種不同維生處置中（共32項），這32項家人對於維生處置的意願傾向，均高於老人對自己維生處置之意願傾向，有23項（72%）達統計顯著水準。結論／實務應用　為了使家人的決定忠於老人本身之意願，彼此有必要針對病危時是否接受維生處置進行溝通。

Background: Written advance directives are not common practice in Taiwan; thus, when older adults are critically ill, family members are usually the ones to make decisions regarding life-sustaining treatment.Purpose: This study determined how well the preferences of the family members for the older adults match the preferences of the older adults themselves with regard to life-sustaining treatment.Methods: A cross-sectional comparative descriptive research design was used in this study. Ninety-five pairs of older adults and their families were included in the final analysis. The Life Support Preferences Questionnaire was used to measure life-sustaining preferences. Paired-sample t tests were performed to compare the mean differences between the older adults' preferences and the family members' preferences for these older adults.Results: Family members scored higher on life-sustaining treatment preferences than the older adults for all 32 examined items, with 23 (72%) of these items showing statistical significance.Conclusion/Implications for Practice: Communication between older adults and their family members regarding life-sustaining treatment may help prevent older adults from receiving unwanted treatments.

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