Life-Sustaining Treatment Decisions: A Social Work Response to Meet Needs of Health Care Surrogates

被引：12

作者：

Buckey, Julia W. ^{[1
]}

Abell, Neil ^{[2
]}

机构：

[1] Univ Cent Florida, HPA1 Room 255,POBox 163358, Orlando, FL 32816 USA

[2] Florida State Univ, Tallahassee, FL 32306 USA

来源：

JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE | 2010年 / 6卷 / 1-2期

关键词：

end-of-life care; health care proxy; health care surrogate; Health Care Surrogate Preferences Scale; life-sustaining treatment decisions;

D O I：

10.1080/15524256.2010.489221

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

Surrogates must possess essential patient information prior to legitimately exercising legal and moral obligations to act on patients' medical care preferences. This descriptive, in vivo study examined factors influencing surrogate and proxy decisions (N = 132) following life-sustaining treatment decisions. Patient communication and self-efficacy variables accounted for approximately 38% of the variance in surrogates' perceptions of benefits/barriers associated with decision making. Guided by patients' advanced communication, respondents (97.8%) expressed high self-reliance and significant appreciation of benefits associated with their decisions. Clarifying surrogates' and providers' understanding of patient care preferences during ICU/CCU admission may facilitate better adherence to patient wishes.

引用

页码：27 / 50

页数：24

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