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Article: Advance directive and end-of-life care preferences among Chinese nursing home residents in Hong Kong

TitleAdvance directive and end-of-life care preferences among Chinese nursing home residents in Hong Kong
Authors
Chu, LWLuk, JKHHui, EChiu, PKCChan, CSYKwan, SMKwok, TLee, DWoo, J
KeywordsAdvance directive
Chinese
End-of-Life care
Nursing home
Issue Date2011
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
Citation
Journal of the American Medical Directors Association, 2011, v. 12 n. 2, p. 143-152 How to Cite?
DOI: http://dx.doi.org/10.1016/j.jamda.2010.08.015
AbstractOBJECTIVES: The objectives of the present study were to describe the knowledge and preferences of Hong Kong Chinese older adults regarding advance directives and end-of-life care decisions, and to investigate the predictors of preferences for advance directive and community end-of-life care in nursing homes. METHODS: This was a cross-sectional survey conducted in 140 nursing homes in Hong Kong. A total of 1600 cognitively normal Chinese older adults were recruited. Information on demographics, social, medical diseases, preferences of end-of-life care decisions, and advance directives were collected by face-to-face questionnaire interviews. RESULTS: The mean age of the participants was 82.4 years; 94.2% of them would prefer to be informed of the diagnosis if they had terminal diseases and 88.0% preferred to have their advance directives regarding medical treatment in the future. Approximately 35% would prefer to die in their nursing homes. The significant independent predictors for the preference of advance directive included asking for relatives' advice, wishing to be informed of their terminal illness diagnoses, absence of stroke, and having no problems in self-care in European Quality of Life-5 Dimensions. For the preference for community end-of-life care and dying in nursing homes, the independent predictors included older age, not having siblings in Hong Kong, Catholic religion, nonbeliever of traditional Chinese religion, not receiving any old age allowance, lower Geriatric Depression Scale score, and being residents of government-subsidized nursing homes. CONCLUSIONS: Most of our cognitively normal Chinese nursing home older adults prefer having an advance directive, and one-third of them would prefer to die in nursing homes.
Persistent Identifierhttp://hdl.handle.net/10722/139467
ISSN
1525-8610
2021 Impact Factor: 7.802
2020 SCImago Journal Rankings: 1.840
ISI Accession Number ID
WOS:000287331500012
Funding AgencyGrant Number
Food and Health Bureau, Hong Kong SAR GovernmentSHS-E-08
Funding Information:

This study was funded by a research grant from Food and Health Bureau, Hong Kong SAR Government (SHS-E-08).

Grants
Advance directive and the preference of old age home residents for community model of end-of-life care in the Hong Kong

 

DC FieldValueLanguage
dc.contributor.authorChu, LWen_US
dc.contributor.authorLuk, JKHen_US
dc.contributor.authorHui, Een_US
dc.contributor.authorChiu, PKCen_US
dc.contributor.authorChan, CSYen_US
dc.contributor.authorKwan, SMen_US
dc.contributor.authorKwok, Ten_US
dc.contributor.authorLee, Den_US
dc.contributor.authorWoo, Jen_US
dc.date.accessioned2011-09-23T05:50:25Z-
dc.date.available2011-09-23T05:50:25Z-
dc.date.issued2011en_US
dc.identifier.citationJournal of the American Medical Directors Association, 2011, v. 12 n. 2, p. 143-152en_US
dc.identifier.issn1525-8610-
dc.identifier.urihttp://hdl.handle.net/10722/139467-
dc.description.abstractOBJECTIVES: The objectives of the present study were to describe the knowledge and preferences of Hong Kong Chinese older adults regarding advance directives and end-of-life care decisions, and to investigate the predictors of preferences for advance directive and community end-of-life care in nursing homes. METHODS: This was a cross-sectional survey conducted in 140 nursing homes in Hong Kong. A total of 1600 cognitively normal Chinese older adults were recruited. Information on demographics, social, medical diseases, preferences of end-of-life care decisions, and advance directives were collected by face-to-face questionnaire interviews. RESULTS: The mean age of the participants was 82.4 years; 94.2% of them would prefer to be informed of the diagnosis if they had terminal diseases and 88.0% preferred to have their advance directives regarding medical treatment in the future. Approximately 35% would prefer to die in their nursing homes. The significant independent predictors for the preference of advance directive included asking for relatives' advice, wishing to be informed of their terminal illness diagnoses, absence of stroke, and having no problems in self-care in European Quality of Life-5 Dimensions. For the preference for community end-of-life care and dying in nursing homes, the independent predictors included older age, not having siblings in Hong Kong, Catholic religion, nonbeliever of traditional Chinese religion, not receiving any old age allowance, lower Geriatric Depression Scale score, and being residents of government-subsidized nursing homes. CONCLUSIONS: Most of our cognitively normal Chinese nursing home older adults prefer having an advance directive, and one-third of them would prefer to die in nursing homes.-
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda-
dc.relation.ispartofJournal of the American Medical Directors Associationen_US
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in Journal of the American Medical Directors Association. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of the American Medical Directors Association, 2011, v. 12 n. 2, p. 143-152. DOI: 10.1016/j.jamda.2010.08.015-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAdvance directive-
dc.subjectChinese-
dc.subjectEnd-of-Life care-
dc.subjectNursing home-
dc.subject.meshAdvance Directives-
dc.subject.meshHong Kong-
dc.subject.meshNursing Homes-
dc.subject.meshPatient Preference-
dc.subject.meshTerminal Care-
dc.titleAdvance directive and end-of-life care preferences among Chinese nursing home residents in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailChu, LW: lwchu@hkucc.hku.hken_US
dc.identifier.emailLuk, JKH: jkhluk@hkucc.hku.hken_US
dc.identifier.emailChan, CSY: sycherry@hkucc.hku.hken_US
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.jamda.2010.08.015-
dc.identifier.pmid21266291-
dc.identifier.scopuseid_2-s2.0-78751706337-
dc.identifier.hkuros194551en_US
dc.identifier.volume12en_US
dc.identifier.issue2en_US
dc.identifier.spage143en_US
dc.identifier.epage152en_US
dc.identifier.isiWOS:000287331500012-
dc.publisher.placeUnited States-
dc.relation.projectAdvance directive and the preference of old age home residents for community model of end-of-life care in the Hong Kong-
dc.identifier.issnl1525-8610-

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