2.50
Hdl Handle:
http://hdl.handle.net/10755/158744
Type:
Presentation
Title:
Preferences for Life-Sustaining Treatments of Taiwanese Adults
Abstract:
Preferences for Life-Sustaining Treatments of Taiwanese Adults
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Suen, Lee-jen, PhD
P.I. Institution Name:Chang Jung Christian University
Contact Address:396, Sec.1 Changrong Rd., Gueiren, Tainan, Taiwan, 71101, ROC
Contact Telephone:886-6-2785123-3172
Co-Authors:L.W. Suen, C.C. Yao, Nursing, Chang Jung Christian University, Gueiren, Tainan, TAIWAN;
Deciding to withdraw or to withhold life-sustaining treatments is very difficult, especially if there is no communication with the patient prior to making the decision. This study examines the preferences for life-sustaining treatments of community-dwelling adults in Taiwan. A cross-sectional design was used in this study, which included 81 men (40%) and 128 women (60%). Their age ranged from 21 to 90 (M=53.4, SD=19.5) and 78% of the subjects rated their health as good or all right. The Life Support Preferences Questionnaire, which includes four types of life-sustaining treatments (antibiotics, surgery, CPR, and artificial nutrition) under 8 hypothetical health scenarios for 32 conditions, was used to measure preferences for end-of-life care. The average desirability of treatments ranged from 1.71 to 3.59 (Mean = 2.51, SD = 0.53), where 1 represented definitely unwanted and 5 definitely wanted. Among the 32 conditions, 9 out of 10 of the most desirable life-sustaining treatments were antibiotics or artificial nutrition, with surgery being the 10th most desirable in the case of severe emphysema. Of the 10 least desirable life-sustaining treatments, 6 involved CPR and 4 involved surgery. Among the 8 health scenarios, coma with no chance for recovery and terminal cancer without pain or with constant pain were viewed by Taiwanese as the worst conditions, their preferences for CPR or surgery under these scenarios ranging from definitely unwanted to possibly unwanted. Severe emphysema with cognitive function intact was the most favorable condition. No significant correlation was found between age and preferences for life-sustaining treatments, except in the case of artificial nutrition for terminal cancer with constant pain (r = -0.16, p < 0.05). Significant, but weak, correlations were found between self-reported health and the desirability of treatment in 8 conditions, with healthier persons having higher desirability for life-sustaining treatment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePreferences for Life-Sustaining Treatments of Taiwanese Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158744-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Preferences for Life-Sustaining Treatments of Taiwanese Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Suen, Lee-jen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chang Jung Christian University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">396, Sec.1 Changrong Rd., Gueiren, Tainan, Taiwan, 71101, ROC</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">886-6-2785123-3172</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ljwsuen@mail.cjcu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L.W. Suen, C.C. Yao, Nursing, Chang Jung Christian University, Gueiren, Tainan, TAIWAN;</td></tr><tr><td colspan="2" class="item-abstract">Deciding to withdraw or to withhold life-sustaining treatments is very difficult, especially if there is no communication with the patient prior to making the decision. This study examines the preferences for life-sustaining treatments of community-dwelling adults in Taiwan. A cross-sectional design was used in this study, which included 81 men (40%) and 128 women (60%). Their age ranged from 21 to 90 (M=53.4, SD=19.5) and 78% of the subjects rated their health as good or all right. The Life Support Preferences Questionnaire, which includes four types of life-sustaining treatments (antibiotics, surgery, CPR, and artificial nutrition) under 8 hypothetical health scenarios for 32 conditions, was used to measure preferences for end-of-life care. The average desirability of treatments ranged from 1.71 to 3.59 (Mean = 2.51, SD = 0.53), where 1 represented definitely unwanted and 5 definitely wanted. Among the 32 conditions, 9 out of 10 of the most desirable life-sustaining treatments were antibiotics or artificial nutrition, with surgery being the 10th most desirable in the case of severe emphysema. Of the 10 least desirable life-sustaining treatments, 6 involved CPR and 4 involved surgery. Among the 8 health scenarios, coma with no chance for recovery and terminal cancer without pain or with constant pain were viewed by Taiwanese as the worst conditions, their preferences for CPR or surgery under these scenarios ranging from definitely unwanted to possibly unwanted. Severe emphysema with cognitive function intact was the most favorable condition. No significant correlation was found between age and preferences for life-sustaining treatments, except in the case of artificial nutrition for terminal cancer with constant pain (r = -0.16, p &lt; 0.05). Significant, but weak, correlations were found between self-reported health and the desirability of treatment in 8 conditions, with healthier persons having higher desirability for life-sustaining treatment.</td></tr></table>en_GB
dc.date.available2011-10-26T21:21:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:21:15Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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