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首页> 外文期刊>Nursing forum >Are older adults’ demographic characteristics social determinants of their perceived importance, desire, and ability to perform end‐of‐life self‐care actions?
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Are older adults’ demographic characteristics social determinants of their perceived importance, desire, and ability to perform end‐of‐life self‐care actions?

机译：是老年人的人口统计特征，他们的社会决定因素的感知，欲望和能够进行生活最终的自我保健行为吗？

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Abstract Background Demographic characteristics play a role in influencing the decision to make end‐of‐life (EOL) directives among older adults living in the United States. Aims To examine the associations between older adults’ demographic characteristics (age, sex, marital status, residential site, and educational level) and their perceived importance of four self‐care actions for EOL planning, as well as their desire and ability to perform these actions. Settings A cross‐sectional survey study of community‐dwelling adults living in the southern United States from?2015 to 2016. Participants Community‐dwelling adults aged 65 years and older (N?=?123). Methods A self‐administered tool, the Patient Action Inventory for Self‐Care and a demographic questionnaire were used. Multiple logistic regression was performed. Results Forty‐seven of (38.2%) participants lived in an urban community and 76 (61.8%) in a rural community. Demographic variables that were significant across the predictive models were older adults’ residence, education levels, age, and marital status. Four demographic characteristics of living in rural areas, without a high school education, being 75 years or older, and married could be social determinants of EOL planning. Conclusions Older adults may need community‐based support to address their end‐of‐life needs, especially those elders who want to remain independent in their home environment.
机译：摘要背景文名特征在影响生活在美国的老年人的寿命终端（EOL）指令中发挥作用。旨在审查老年人人口统计特征（年龄，性别，婚姻状况，住宅网站和教育水平）之间的协会及其对EOL规划的四项自我保健行为的感知重要性，以及他们的愿望和能力执行这些行动。设置横断面调查研究居住在美国南部的社区住宅，2015至2016年。参加者社区住宅年龄65岁及以上（N？= 123）。方法使用自我管理的工具，使用自我护理和人口调查问卷的患者行动库存。进行多元逻辑回归。结果47人（38.2％）参与者在城市社区生活，76名（61.8％）在农村社区中。在预测模型中具有重要的人口变量是老年人的住所，教育水平，年龄和婚姻状况。居住在农村地区的四个人口特征，没有高中教育，75岁或以上，结婚可能是EOL规划的社会决定因素。结论老年人可能需要以社区为基础的支持来解决其终生需求，特别是那些想要在其家庭环境中保持独立的长老。

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