符合社區民眾預立醫療自主計劃文化觀點之介入模式－台灣花蓮地區之經驗

Promoting Advance Care Planning for Community-Dwelling People-A Practical Approach with Cultural Differences in Eastern Taiwan

謝至鎠(Jyh-Gang Hsieh) ； 王淑貞(Shu-Chen Wang) ； 王英偉(Ying-Wei Wang)

《安寧療護雜誌》 18卷1期 (2013/03) Pp. 1-13

https://doi.org/10.6537/TJHPC.2013.18(1).1

摘要

Purpose: In Taiwan, people do not want to talk about death in daily conversation. It is difficult to discuss with people about their advance care planning (ACP). We need to develop a culture sensitive strategy to promote advance care planning in Taiwan society. Material and Methods: We developed educating materials and conducted community programs to promote ACP in eastern Taiwan. After the program, we evaluated the concepts about self-reported health status, choosing of surrogate, the idea and understanding about Do Not Resuscitation and the acceptance of ACP of the participants. Results: There are 235 community dwelling residents included. The rate of agree of advance directives are 32%. About 51.1% participants expressed that they can't make decisions right away. The factors influencing higher agreement of ACP are race, healthy status, understanding about DNR and the younger age (p＜0.05). Conclusions: The ACP programs for local culture can provide culture-sensitive choices and reflections for elders in Taiwan. They are more likely to discuss their own end-of-life decisions through this program.

關鍵字

預立醫療自主計畫 ； 文化適應性 ； 社區民眾

並列摘要

Purpose: In Taiwan, people do not want to talk about death in daily conversation. It is difficult to discuss with people about their advance care planning (ACP). We need to develop a culture sensitive strategy to promote advance care planning in Taiwan society. Material and Methods: We developed educating materials and conducted community programs to promote ACP in eastern Taiwan. After the program, we evaluated the concepts about self-reported health status, choosing of surrogate, the idea and understanding about Do Not Resuscitation and the acceptance of ACP of the participants. Results: There are 235 community dwelling residents included. The rate of agree of advance directives are 32%. About 51.1% participants expressed that they can't make decisions right away. The factors influencing higher agreement of ACP are race, healthy status, understanding about DNR and the younger age (p＜0.05). Conclusions: The ACP programs for local culture can provide culture-sensitive choices and reflections for elders in Taiwan. They are more likely to discuss their own end-of-life decisions through this program.

並列關鍵字

Advance Care Planning ； Culture Competence ； Community Dwelling People