Analysis of attitude of 1 392 elderly in geracomium toward life sustaining treatment and its influencing factors
Abstract：Obj ective:To know about the attitude of elderly in geracomi-um toward life sustaining treatment and its influencing factors.Meth-ods A total of 1392 elderly from 61 geracomiums registered in Civil Af-fairs Bureau in Wuhan City were investigated.To explore the influence of demographic variables,quality of life(QOLC E),activities of daily living(I ADL,P ADL),chronic disease status(CIRS)on life sus-taining treatment.Results:The CIRS score of elderly was 4.79±3.29. The average score of QOLC E was 3.17±0.51.The total score of P ADL was 20.64±4.46.The total score of I ADL was 13.68±4.73.And 45.8%of the elderly has chosen life sustaining treatment when their illness was critical and irreversible.Influence factors of life sustaining treat-ment included insurance status,self perceived health level,quality of life,and activity function.Conclusion:Elderly with good health insur-ance,perceived health status,better quality of life and activity functions tend to choose life sustaining treatment.Otherwise,elderly of severe illness,low education level,poor self perceived health status tend to re-fuse life maintenance therapy.It suggests that medical personnel should communicate with elderly in geracomium about the meaning of ineffec-tive treatment and death with dignity and improve the quality of life of elderly at the end stage.
Keywords：geracomiumelderlylife sustaining treatmentattitudein-fluencing factors
Publication Date：2014-01-01
Pages：4( 3604-3607 )