CAJ | 학술논문

[目的]了解养老院老人对维持生命治疗的态度及其影响因素。[方法]对武汉市民政局注册的61家养老院中的1392名老人进行调研，探讨人口学变量、生活质量、活动功能、慢性病状况等对生命维持治疗的影响。[结果]老年人累积疾病量表(CIRS )评分为(4.79±3.29)分，老年人生活质量量表(QOLC E)均分为(3.17±0.51)分，生理性日常生活能力(P ADL)总分为(20.64±4.46)分，工具性日常生活能力(I ADL)总分为(13.68±4.73)分；45.8%的老人在病情严重不可逆转时选择生命维持治疗；生命维持治疗的影响因素为保险状况、自觉健康水平、生活质量、活动功能。[结论]拥有保险、自觉健康状况较好、生活质量较高、活动功能较好的老人倾向于选择生命维持治疗；疾病较重、教育程度较低、自觉健康状况较差的老人倾向于拒绝生命维持治疗。建议医护人员多与养老院老人沟通无效救治和尊严死的意义，提高老人临终生活质量。
[목적]료해양로원노인대유지생명치료적태도급기영향인소。[방법]대무한시민정국주책적61가양로원중적1392명노인진행조연，탐토인구학변량、생활질량、활동공능、만성병상황등대생명유지치료적영향。[결과]노년인루적질병량표(CIRS )평분위(4.79±3.29)분，노년인생활질량량표(QOLC E)균분위(3.17±0.51)분，생이성일상생활능력(P ADL)총분위(20.64±4.46)분，공구성일상생활능력(I ADL)총분위(13.68±4.73)분；45.8%적노인재병정엄중불가역전시선택생명유지치료；생명유지치료적영향인소위보험상황、자각건강수평、생활질량、활동공능。[결론]옹유보험、자각건강상황교호、생활질량교고、활동공능교호적노인경향우선택생명유지치료；질병교중、교육정도교저、자각건강상황교차적노인경향우거절생명유지치료。건의의호인원다여양로원노인구통무효구치화존엄사적의의，제고노인림종생활질량。
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.