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首页> 外文期刊>Canadian Journal of Emergency Medicine >Prevalence of advance directives among elderly patients attending an urban Canadian emergency department
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Prevalence of advance directives among elderly patients attending an urban Canadian emergency department

机译：在加拿大城市急诊科就诊的老年患者中预先指示的普遍性

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Introduction:To date, there has been minimal research on advance directives (ADs) among elderly patients in Canadian emergency departments (EDs). The purpose of this study was to determine the prevalence of ADs among elderly patients visiting an urban ED. We also explored whether there were factors associated with the existence of an AD and possible barriers to having one.Methods:This prospective study ran between October and December 2008. Individuals over the age of 70 who presented to the ED between 7 am and 7 pm, 7 days a week, were considered for enrolment. Exclusion criteria included previous enrolment and inability to provide informed consent. A team of nurses who specialize in assessment of geriatric patients administered a study instrument consisting of 28 questions. Topics included demographics, level of education, medical information, and knowledge of and attitudes toward ADs.Results:The results from 280 participants, with an average age of 80.6 years, were analyzed. Thirty-five percent of participants reported that they knew what an AD was; 19.3% of participants said they had an AD, but only 5.6% brought it to the hospital; 50.7% were interested in further information regarding ADs; and 67.9% of participants felt that it was important for physicians to know their wishes about life support.Conclusion:Knowledge of ADs among elderly patients visiting an urban Canadian ED is limited and is likely a significant factor precluding wider prevalence of ADs. There is interest in further discussion about ADs in this population group.
机译：简介：迄今为止，加拿大急诊科（ED）中对老年患者的预先医疗指示（AD）的研究很少。这项研究的目的是确定访问城市急诊室的老年患者中AD的患病率。我们还探讨了是否存在与AD相关的因素以及可能存在的障碍。方法：这项前瞻性研究于2008年10月至2008年12月进行。70岁以上的人在上午7点至晚上7点之间向ED求诊。 ，一周7天，被考虑参加。排除标准包括以前的入组和无法提供知情同意。一个专门评估老年患者的护士团队为研究仪器提供了28个问题。主题包括人口统计学，教育程度，医学信息以及对AD的知识和态度。结果：分析了280名平均年龄为80.6岁的参与者的结果。 35％的参与者报告说他们知道什么是AD。 19.3％的参与者说他们患有AD，但只有5.6％的人把它带到了医院; 50.7％的人对有关AD的进一步信息感兴趣; 67.9％的参与者认为，了解医师对生命支持的愿望很重要。结论：访问加拿大城市ED的老年患者对AD的了解有限，并且可能是排除AD患病率的重要因素。有兴趣进一步讨论该人群中的AD。

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