您的位置: 首页 > 2024年3月 第55卷 第3期 > 文字全文
2023年7月 第38卷 第7期11
目录

养老机构老年人死亡态度及其影响因素研究

Study on death attitude and its influencing factors of the elderly in nursing institutions

来源期刊: 广州医药 | 274-278 发布时间:2024-04-12 收稿时间:2025/11/13 18:50:06 阅读量:17
作者:
关键词:
养老机构老年人死亡态度影响因素
nursing institutionsthe elderlydeath attitudeinfluencing factors
DOI:
10.3969/j.issn.1000-8535.2024.03.009
收稿时间:
2023-07-21 
修订日期:
 
接收日期:
 
引用总数:
2  
目的 探讨养老机构老年人死亡态度及其影响因素。方法 选取2018年1月—2022年12月广州市养老机构的593名老年人进行问卷调查,统计养老机构老年群体对死亡的态度,并分析其死亡态度发生的影响因素。结果 经过研究发现,对死亡的态度呈自然接受的老年人数量最少,为42例,占比为7.1%,其次从高到低依次为逃离接受老年人308例,占比为51.9%;死亡恐惧老年人83例,占比为14.0%;死亡逃避老年人81例,占比为13.7%;趋近接受老年人79例,占比为13.3%。患者的死亡态度与患者所患的疾病病种有关,影响死亡态度的因素包括:生理心理因素、文化思想因素、社会环境因素,其中发生概率最高的是生理心理因素,占比为50.9,其次从高到低依次为文化思想因素,占比为26.5%;社会环境因素,占比为22.6%。死亡态度中趋近接受维度的分值相对更高,其次依次为死亡恐惧、自然接受、死亡逃避以及逃离接受。单因素分析显示差异有统计学意义的项目包含家庭内讨论死亡、性别、健康自评状况、年龄、患病种数、经济结构。结论 在养老机构中,大多数老年人对死亡是无法自然接受的,大部分老年群体对死亡的态度是逃离接受,部分群体对死亡的态度是恐惧、逃避;而影响老年群体死亡态度的因素主要是生理心理因素。
Objective To explore the death attitudes and its influencing factors among the elderly in nursing institutions. Methods A questionnaire survey on death attitudes was conducted among 593 elderly individuals in nursing institutions in Guangzhou from January 2018 to December 2022,and their possible influencing factors were analyzed. Results There were 51.9% of the elderly individuals whose death attitudes were characterized by escape acceptance,while 7.1% demonstrated natural acceptance.However,the numbers of the elderly individuals with approaching acceptance,fear of death and escape from death showed no significant statistical difference,all being lower than the number of the elderly individuals with escape acceptance.The influencing factors of death attitude included physiological and psychological factors,cultural and ideological factors,and social environment factors.The probability of physiological and psychological factors influencing death attitudes was higher than that of other factors(P<0.05).The score for the dimension of approaching acceptance in death attitudes was higher than that for other dimensions(P<0.05). Conclusions In nursing institutions,the majority of elderly individuals cannot naturally accept death.Most elderly individuals exhibit an attitude of escape acceptance towards death,while some exhibit an attitude of fear and escape.However,the factors influencing the elderly's attitudes towards death are mainly physiological and psychological factors.
1、 SHIMOKAWA M,KANAZU M,SAITO R,et al.1375P Predicting chemotherapy toxicity in elderly patients with advanced non-small cell lung cancer:A prospective multicenter study of the national hospital organization in Japan[J].Ann Oncol,2020,31(S4). SHIMOKAWA M,KANAZU M,SAITO R,et al.1375P Predicting chemotherapy toxicity in elderly patients with advanced non-small cell lung cancer:A prospective multicenter study of the national hospital organization in Japan[J].Ann Oncol,2020,31(S4).
2、 AVERKIEVA J,RASKINA T,LETAEVA M,et al.AB0888 Reasons for lethality in elderly and senior age patients with osteoporotic fractures of femur[J].Ann Rheum Dis,2020,79(Suppl 1):1748. AVERKIEVA J,RASKINA T,LETAEVA M,et al.AB0888 Reasons for lethality in elderly and senior age patients with osteoporotic fractures of femur[J].Ann Rheum Dis,2020,79(Suppl 1):1748.
3、 JASON S,SARAH G,RICHARD M,et al.Quantifying the economic burden of myelodysplastic syndromes among elderly US patients[J].Blood,2019,134(Supplement_1). JASON S,SARAH G,RICHARD M,et al.Quantifying the economic burden of myelodysplastic syndromes among elderly US patients[J].Blood,2019,134(Supplement_1).
4、 ANDO K, SHIMADA K, YAMAZAKI T,et al.Influence of blood pressure on the effects of low-dose asprin in elderly patients with multiple atherosclerotic risks[J].J Hypertens,2019,37(6):1301-1307. ANDO K, SHIMADA K, YAMAZAKI T,et al.Influence of blood pressure on the effects of low-dose asprin in elderly patients with multiple atherosclerotic risks[J].J Hypertens,2019,37(6):1301-1307.
5、 RECINELLA G, MARASCO G, TUFONI M,et al.Clinical role of lung ultrasound for the diagnosis and prognosis of coronavirus disease pneumonia in elderly patients:A pivotal study[J].Gerontology,2021,67(1):78-86. RECINELLA G, MARASCO G, TUFONI M,et al.Clinical role of lung ultrasound for the diagnosis and prognosis of coronavirus disease pneumonia in elderly patients:A pivotal study[J].Gerontology,2021,67(1):78-86.
6、 ZHANG X, ZHANG X F, WANG L,et al.Analysis of clinical efficacy of traditional Chinese medicine in recovery stage of stroke:A systematic review and meta-analysis[J].Cardiovasc Ther,2020(2020):7172052. ZHANG X, ZHANG X F, WANG L,et al.Analysis of clinical efficacy of traditional Chinese medicine in recovery stage of stroke:A systematic review and meta-analysis[J].Cardiovasc Ther,2020(2020):7172052.
7、 KLUIN-NELEMANS H C,HOSTER E,HERMINE O,et al.Treatment of older patients with mantle cell lymphoma(MCL):Long-Term Follow-Up of the randomized European MCL elderly trial[J].J Clin Oncol,2020,38(3):248-256. KLUIN-NELEMANS H C,HOSTER E,HERMINE O,et al.Treatment of older patients with mantle cell lymphoma(MCL):Long-Term Follow-Up of the randomized European MCL elderly trial[J].J Clin Oncol,2020,38(3):248-256.
8、 YU Y,XIONG Y,ZHANG C,et al.Vascular access type was not associated with mortality and the predictors for cardiovascular death in elderly Chinese patients on hemodialysis[J].Blood Purif,2020,49(1-2):63-70. YU Y,XIONG Y,ZHANG C,et al.Vascular access type was not associated with mortality and the predictors for cardiovascular death in elderly Chinese patients on hemodialysis[J].Blood Purif,2020,49(1-2):63-70.
9、 李桂花,邱杰雯,叶庞海,等.老年NDDs住院患者的特点及其医疗费用的影响因素分析[J].中华神经医学杂志,2020,19(11):1134-1141. 李桂花,邱杰雯,叶庞海,等.老年NDDs住院患者的特点及其医疗费用的影响因素分析[J].中华神经医学杂志,2020,19(11):1134-1141.
10、 丘玉平,关梦珊,李莹,等.老年人24 h动态舒张压的影响因素及其对10年生存预后的影响研究[J].中国全科医学,2020,23(1):51-57. 丘玉平,关梦珊,李莹,等.老年人24 h动态舒张压的影响因素及其对10年生存预后的影响研究[J].中国全科医学,2020,23(1):51-57.
11、 ALON R,SHAI S,PIA R,et al.Analysis of elderly patients(≥70 years old)with acute leukemia in the era of targeted therapy[J].Blood,2019,134(Supplement_1). ALON R,SHAI S,PIA R,et al.Analysis of elderly patients(≥70 years old)with acute leukemia in the era of targeted therapy[J].Blood,2019,134(Supplement_1).
12、 HU H,SI Y,CHEN X.Social pension expansions and health-care utilisation in China:Cross-sectional evidence from the New Rural Pension Scheme[J].The Lancet,2019,394(Supl.1). HU H,SI Y,CHEN X.Social pension expansions and health-care utilisation in China:Cross-sectional evidence from the New Rural Pension Scheme[J].The Lancet,2019,394(Supl.1).
13、 张园,连楠楠.机构智能养老服务满意度影响因素研究——基于包头市的经验证据[J].中国人口科学,2019(2):112-125,128. 张园,连楠楠.机构智能养老服务满意度影响因素研究——基于包头市的经验证据[J].中国人口科学,2019(2):112-125,128.
14、 FU R,MITSAKAKIS N,KAI L,et al.TH-PO1117 predicting health outcomes for elderly renal transplant recipients with machine learning[J].JASN,2019,30(Abstract Supplement):411-412. FU R,MITSAKAKIS N,KAI L,et al.TH-PO1117 predicting health outcomes for elderly renal transplant recipients with machine learning[J].JASN,2019,30(Abstract Supplement):411-412.
15、 卢沛,宋涛,戴付敏,等.养老机构衰弱及衰弱前期老年人生活质量现状及影响因素[J].中国老年学,2019,39(6):1471-1475. 卢沛,宋涛,戴付敏,等.养老机构衰弱及衰弱前期老年人生活质量现状及影响因素[J].中国老年学,2019,39(6):1471-1475.
16、 CHOI R,KANG H G .Medical expenditures and its determinants depending on receipt of public pension in South Korea[J].Medicine,2019,98(28):e16294. CHOI R,KANG H G .Medical expenditures and its determinants depending on receipt of public pension in South Korea[J].Medicine,2019,98(28):e16294.
17、 封铁英,邓晓君,高鑫.养老机构医疗护理服务需求潜在类别及其影响因素——陕西省调查实例[J].管理评论,2020,32(5):280-291. 封铁英,邓晓君,高鑫.养老机构医疗护理服务需求潜在类别及其影响因素——陕西省调查实例[J].管理评论,2020,32(5):280-291.
18、 桂前,王燕君,张沁,等.基于国际居民长期照护评估工具的养老机构老年人认知障碍现状及影响因素研究[J].中国全科医学,2019,22(7):855-859. 桂前,王燕君,张沁,等.基于国际居民长期照护评估工具的养老机构老年人认知障碍现状及影响因素研究[J].中国全科医学,2019,22(7):855-859.
19、 LERNFELT G,MANDALENAKIS Z,HORNESTAM B,et al.Atrial fibrillation in the elderly general population:A 30-year follow-up from 70 to 100 years of age[J].Scand Cardiovasc J,2020,54(4):232-238. LERNFELT G,MANDALENAKIS Z,HORNESTAM B,et al.Atrial fibrillation in the elderly general population:A 30-year follow-up from 70 to 100 years of age[J].Scand Cardiovasc J,2020,54(4):232-238.
20、 MAQUET J, LAFAURIE M, SOMMET A,et al.Autoimmune hemolytic anemia:A disease of the elderly and the very elderly with increased mortality and increased rates of hospitalization for thrombosis and infection[J].Blood,2020,136(Supplement 1):41-41. MAQUET J, LAFAURIE M, SOMMET A,et al.Autoimmune hemolytic anemia:A disease of the elderly and the very elderly with increased mortality and increased rates of hospitalization for thrombosis and infection[J].Blood,2020,136(Supplement 1):41-41.
1、周灿.认知行为疗法视角下慢性病老年人的死亡焦虑及社会工作介入[D].中国社会科学院大学,2025.DOI:10.27642/d.cnki.gskyy.2025.000084. 周灿.认知行为疗法视角下慢性病老年人的死亡焦虑及社会工作介入[D].中国社会科学院大学,2025.DOI:10.27642/d.cnki.gskyy.2025.000084.
2、王妍松,杨宇飞.老年晚期恶性肿瘤患者中西医融合治疗方案探索[J].北京中医药大学学报,2025,48(09):1185-1190. 王妍松,杨宇飞.老年晚期恶性肿瘤患者中西医融合治疗方案探索[J].北京中医药大学学报,2025,48(09):1185-1190.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录