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引用次数: 0
摘要
个人偏好会影响临终(EOL)决策,通常与参与预先护理规划过程有关。填写预先医疗指示(AD)允许个人正式记录并合法报告其临终护理偏好。本研究探讨了宗教的两个方面--个人宗教信仰和正式宗教实践--如何与预先护理规划相关联。对美国 50 岁及以上的健康成年人(n = 514;74% 为顺性女性)进行了全国性抽样调查,详细了解了他们的临终关怀偏好、预先护理计划、个人宗教信仰和正式宗教实践。通过使用普通最小二乘法(OLS),我们发现对上帝在临终前的作用有更高信仰的人更倾向于采取延长生命的措施。利用逻辑回归法,在临终时对上帝的作用有较高信仰的人完成 AD 的几率较低。在研究医疗保健偏好和决策时,应考虑宗教的多个层面。
The association of religion with advance care planning.
Personal preferences influence end-of-life (EOL) decision-making and are commonly associated with engagement in the advance care planning process. Completing an advance directive (AD) allows individuals to formally document and legally report their EOL care preferences. This study explored how two aspects of religion-personal religious beliefs and formal religion practices-may be associated with advance care planning. A national sample of healthy adults in the United States aged 50 years and older (n = 514; 74% cisgender women) completed surveys detailing their EOL preferences, advance care planning, personal religious beliefs, and formal religion practices. Using Ordinary Least Squares (OLS), we find that a higher belief in God's role at EOL was associated with a higher preference for life-prolonging measures. Using logistic regression, those with a higher belief in God's role at EOL had lower odds of AD completion. Multiple dimensions of religion should be considered when studying health care preferences and decision-making.
期刊介绍:
Now published ten times each year, this acclaimed journal provides refereed papers on significant research, scholarship, and practical approaches in the fast growing areas of bereavement and loss, grief therapy, death attitudes, suicide, and death education. It provides an international interdisciplinary forum in which a variety of professionals share results of research and practice, with the aim of better understanding the human encounter with death and assisting those who work with the dying and their families.