Stability Over Time in the Preferences of Older Persons for Life-Sustaining Treatment

被引：16

作者：

Barrio-Cantalejo, Ines M. ^{[1
]}

Simon-Lorda, Pablo ^{[2
]}

Molina-Ruiz, Adoracion ^{[3
]}

Herrera-Ramos, Fatima ^{[4
]}

Martinez-Cruz, Encarnacion ^{[5
]}

Maria Bailon-Gomez, Rosa ^{[6
]}

Lopez-Rico, Antonio ^{[4
]}

Gorlat, Patricia Peinado ^{[1
]}

机构：

[1] Primary Care Ctr Almanjayar, Granada, Spain

[2] Andalusian Publ Hlth Sch, Granada, Spain

[3] Virgen de las Nieves Hosp, Granada, Spain

[4] Primary Care Ctr Salvador Caballero, Granada, Spain

[5] Primary Care Ctr Zaidin, Granada, Spain

[6] Primary Care Ctr Cartuja, Granada, Spain

来源：

JOURNAL OF BIOETHICAL INQUIRY | 2013年 / 10卷 / 01期

关键词：

End of life; Decision-making; Advance directives; Advance care planning; ADVANCE DIRECTIVES; PATIENT PREFERENCES; DECISION-MAKING; ADULTS; DEATH; SPAIN;

D O I：

10.1007/s11673-012-9417-4

中图分类号：

B82 [伦理学（道德学）];

学科分类号：

摘要：

Objective: To measure the stability of life-sustaining treatment preferences amongst older people and analyse the factors that influence stability. Design: Longitudinal cohort study. Setting: Primary care centres, Granada (Spain). Eighty-five persons age 65 years or older. Participants filled out a questionnaire with six contexts of illness (LSPQ-e). They had to decide whether or not to receive treatment. Participants completed the questionnaire at baseline and 18 months later. Results: 86 percent of the patients did not change preferences. Sex, age, marital status, hospitalisation, and self-perception of health and pain did not affect preferences. Morbidity and the death of a relative did. Conclusion: Stability of preferences of older persons in relation to end-of-life decisions seems to be more probable than instability. Some factors, such as the death of a relative or the increase in morbidity, can change preferences. These findings have implications for advance directives (ADs) and advance care planning.

引用

页码：103 / 114

页数：12

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