PDF(Pubmed)
Abstract：
China ranks 53rd out of 81 countries in the Quality of Death Index for 2021. Although hospice care demand is increasing, the progress remains slow. It is of great significance to explore the acceptances and associated influencing factors of hospice care.
A cross-sectional survey by quota sampling was conducted in China from July 10th to September 15th, 2021. We collected demographic data and hospice care acceptance. A stepwise linear regression analysis was used.
This survey contained 11,031 valid questionnaire results to investigate the hospice care acceptance. It was found that individuals with undergraduate or above (β = 0.04), more properties [2 (β = 0.02), 3 (β = 0.01)], and higher reimbursement types of medical insurance [employee health insurance and commercial health (β = 0.03), government insurance (β = 0.04)] had higher hospice acceptance willingness, while males (β = -0.02) were less willing to accept than females. Psychological conditions [mild anxiety (β = 0.03), moderate anxiety (β = 0.01), moderate stress (β = 0.05), and severe stress (β = 0.06)] also played an important role. The Self-Management Scale (SHMS) (β = 0.12), EuroQol Five Dimensions Questionnaire (EQ-5D) (β = 0.05), EuroQol Visual Analog Scale (EQ-VAS) (β = 0.21), Short-Form Family Health Scale (FHS-SF) (β = 0.12), higher scores of the Short-Form Health Literacy Instrument (HLS-SF12) (β = 0.16), and Perceived Social Support Scale (PSSS) (β = 0.10) also contributed. Gender subgroup showed that in the male group, age, highest educational level, marital status, number of properties, whether having children, psychological conditions, the SHMS, EQ-5D, EQ-VAS, HLS-SF12, and PSSS showed significant difference. Urban and rural subgroups showed that age, highest educational level, number of properties, whether having chronic disease or psychological conditions, the SHMS, EQ-VAS, HLS-SF12, and PSSS were contributing factors in rural areas.
The average score of acceptance of hospice care was 65.02 points. Gender, house, anxiety, pressure, social support, and health literacy were the main influencing factors on residents\' attitudes.
A cross-sectional survey by quota sampling was conducted in China from July 10th to September 15th, 2021. We collected demographic data and hospice care acceptance. A stepwise linear regression analysis was used.
This survey contained 11,031 valid questionnaire results to investigate the hospice care acceptance. It was found that individuals with undergraduate or above (β = 0.04), more properties [2 (β = 0.02), 3 (β = 0.01)], and higher reimbursement types of medical insurance [employee health insurance and commercial health (β = 0.03), government insurance (β = 0.04)] had higher hospice acceptance willingness, while males (β = -0.02) were less willing to accept than females. Psychological conditions [mild anxiety (β = 0.03), moderate anxiety (β = 0.01), moderate stress (β = 0.05), and severe stress (β = 0.06)] also played an important role. The Self-Management Scale (SHMS) (β = 0.12), EuroQol Five Dimensions Questionnaire (EQ-5D) (β = 0.05), EuroQol Visual Analog Scale (EQ-VAS) (β = 0.21), Short-Form Family Health Scale (FHS-SF) (β = 0.12), higher scores of the Short-Form Health Literacy Instrument (HLS-SF12) (β = 0.16), and Perceived Social Support Scale (PSSS) (β = 0.10) also contributed. Gender subgroup showed that in the male group, age, highest educational level, marital status, number of properties, whether having children, psychological conditions, the SHMS, EQ-5D, EQ-VAS, HLS-SF12, and PSSS showed significant difference. Urban and rural subgroups showed that age, highest educational level, number of properties, whether having chronic disease or psychological conditions, the SHMS, EQ-VAS, HLS-SF12, and PSSS were contributing factors in rural areas.
The average score of acceptance of hospice care was 65.02 points. Gender, house, anxiety, pressure, social support, and health literacy were the main influencing factors on residents\' attitudes.
摘要：
在2021年的死亡质量指数中，中国在81个国家中排名第53位。虽然临终关怀的需求在增加，进展仍然缓慢。探讨临终关怀的接受度及相关影响因素具有重要意义。
7月10日至9月15日在中国进行了配额抽样的横断面调查，2021年。我们收集了人口统计数据和临终关怀服务接受度。使用逐步线性回归分析。
这项调查包含11,031份有效问卷结果，以调查临终关怀护理的接受程度。发现本科及以上学历的个体(β=0.04)，更多性质[2(β=0.02)，3（β=0.01）]，和较高报销类型的医疗保险[员工健康保险和商业健康(β=0.03)，政府保险(β=0.04)]有更高的临终关怀接受意愿，而男性(β=-0.02)比女性更不愿意接受。心理状况[轻度焦虑（β=0.03），中度焦虑(β=0.01)，中度应激(β=0.05)，和严重的压力（β=0.06）]也起了重要作用。自我管理量表(SHMS)(β=0.12)，EuroQol五维问卷(EQ-5D)(β=0.05)，EuroQol视觉模拟量表（EQ-VAS）（β=0.21），简短的家庭健康量表(FHS-SF)(β=0.12)，短期健康素养工具(HLS-SF12)得分较高(β=0.16)，领悟社会支持量表(PSSS)(β=0.10)也有贡献。性别亚组显示，在男性组中，年龄,最高教育水平,婚姻状况,属性的数量，是否有孩子，心理状况,SHMS,EQ-5D,EQ-VAS,HLS-SF12与PSSS差异显著。城市和农村亚组显示，年龄，最高教育水平,属性的数量，无论是患有慢性病还是心理疾病，SHMS,EQ-VAS,HLS-SF12和PSSS是农村地区的促成因素。
接受临终关怀的平均得分为65.02分。性别,house,焦虑,压力,社会支持,健康素养是居民态度的主要影响因素。
7月10日至9月15日在中国进行了配额抽样的横断面调查，2021年。我们收集了人口统计数据和临终关怀服务接受度。使用逐步线性回归分析。
这项调查包含11,031份有效问卷结果，以调查临终关怀护理的接受程度。发现本科及以上学历的个体(β=0.04)，更多性质[2(β=0.02)，3（β=0.01）]，和较高报销类型的医疗保险[员工健康保险和商业健康(β=0.03)，政府保险(β=0.04)]有更高的临终关怀接受意愿，而男性(β=-0.02)比女性更不愿意接受。心理状况[轻度焦虑（β=0.03），中度焦虑(β=0.01)，中度应激(β=0.05)，和严重的压力（β=0.06）]也起了重要作用。自我管理量表(SHMS)(β=0.12)，EuroQol五维问卷(EQ-5D)(β=0.05)，EuroQol视觉模拟量表（EQ-VAS）（β=0.21），简短的家庭健康量表(FHS-SF)(β=0.12)，短期健康素养工具(HLS-SF12)得分较高(β=0.16)，领悟社会支持量表(PSSS)(β=0.10)也有贡献。性别亚组显示，在男性组中，年龄,最高教育水平,婚姻状况,属性的数量，是否有孩子，心理状况,SHMS,EQ-5D,EQ-VAS,HLS-SF12与PSSS差异显著。城市和农村亚组显示，年龄，最高教育水平,属性的数量，无论是患有慢性病还是心理疾病，SHMS,EQ-VAS,HLS-SF12和PSSS是农村地区的促成因素。
接受临终关怀的平均得分为65.02分。性别,house,焦虑,压力,社会支持,健康素养是居民态度的主要影响因素。
