增强讲西班牙语的老年成人的临终关怀知识:关于临终关怀规划和护理选择的试点教育干预的结果

IF 1.5 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES American Journal of Hospice & Palliative Medicine Pub Date : 2024-04-16 DOI:10.1177/10499091241246057
Susanny J. Beltran, Olga Molina, Reshawna Chapple
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引用次数: 0

摘要

背景拉美裔老年人在预先护理计划(ACP)方面存在差异,因此有必要采取有针对性的干预措施,以提高他们在临终关怀方面的参与度和知识水平。本研究旨在评估一项资源节约型、文化定制型教育干预措施在提高社区拉美裔老年人的 ACP 准备程度和知识水平方面的有效性。方法 采用准实验性的前测-后测设计来评估干预措施的影响。研究对象为美国社区健康中心的拉美裔老年人(61-94 岁)。衡量标准包括参与者对 ACP 的了解、护理选择、对安宁疗护和姑息关怀的熟悉程度以及对安宁疗护的态度,采用干预前和干预后调查的方式进行评估。结果在干预后,ACP 知识、对护理选择的了解以及对安宁疗护和姑息关怀的态度均有显著改善。人口统计因素影响了知识得分,但干预效果方面没有明显的性别差异。该研究强调了可持续的、可获得的、文化敏感的教育策略在减少 ACP 知识差距和可能的参与方面的潜力。
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Enhancing End-of-Life Care Knowledge Among Older Spanish-Speaking Adults: Results From a Pilot Educational Intervention on Advance Care Planning and Care Options
BackgroundDisparities in advance care planning (ACP) among older Latinos necessitate targeted interventions to enhance engagement and knowledge in end-of-life care. This study aimed to evaluate the effectiveness of a resource-efficient, culturally tailored educational intervention in improving ACP readiness and knowledge among older Latino adults in the community.MethodsA quasi-experimental pretest-posttest design was used to assess the impact of the intervention. The study involved community-dwelling older Latinos (aged 61-94) in the U.S. attending community wellness centers. Measures included participants’ knowledge of ACP, care options, familiarity with hospice and palliative care, and attitudes toward hospice, assessed using pre- and post-intervention surveys.ResultsStatistically significant improvements were observed in ACP knowledge, understanding of care options, and attitudes towards hospice and palliative care post-intervention. Demographic factors influenced knowledge scores, with no significant gender differences in the intervention’s efficacy.ConclusionsThe educational intervention effectively enhanced end-of-life care planning readiness and knowledge among older Latinos. The study highlights the potential for sustainable, accessible, and culturally sensitive educational strategies to reduce disparities in ACP knowledge and possibly engagement.
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来源期刊
American Journal of Hospice & Palliative Medicine
American Journal of Hospice & Palliative Medicine HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
5.30%
发文量
169
审稿时长
6-12 weeks
期刊介绍: American Journal of Hospice & Palliative Medicine (AJHPM) is a peer-reviewed journal, published eight times a year. In 30 years of publication, AJHPM has highlighted the interdisciplinary team approach to hospice and palliative medicine as related to the care of the patient and family. This journal is a member of the Committee on Publication Ethics (COPE).
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