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目的在研究社区居民对于生前预嘱态度认知基础上,来探讨影响社区居民对于生前预嘱态度差异的因素并研究服务对策,主要发挥家庭医生在这一做法宣传、拟定和执行中的重要作用,以期待更好的为社区居民提供服务。方法在2014年10月—2015年3月进行问卷调查。采取随机整群抽样,抽取青浦户籍居民1 000名进行问卷调查。问卷为自行编制的《社区居民生前预嘱态度调查问卷》。所有数据进行统计学处理,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果经过调查发现,听说过生前预嘱的人占39.4%,但68%的人表示愿意了解并在条件成熟后填写生前预嘱。年龄、婚姻状况、受教育程度、住址、职业、医疗付费、宗教信仰这些方面的差异影响着居民对于生前预嘱的接受度。性别、年龄、婚姻状况、有无子女、受教育程度、职业、医疗付费、宗教信仰这些因素影响着居民对于生前预嘱这个做法的赞成情况。结论应对不同人口学特征居民进行分类,采用更适合的宣传方式进行传播普及。将这一前沿的生命伦理观,与居民的社会心理和传统习俗做好对接工作。建议社会和政府给予重视推进生前预嘱的合法化进程并加强家庭医生配合传播和普及工作。
Objective To study the factors influencing community residents ’attitudes toward life expectancy and to explore service strategies based on the study of community residents’ cognition of life expectancy, which mainly plays an important role in family doctor’s propaganda, formulation and implementation , In the hope of serving the community residents better. Methods A questionnaire survey was conducted from October 2014 to March 2015. A random cluster sampling was adopted, and 1,000 permanent residents of Qingpu County were sampled for questionnaire survey. Questionnaire for their own preparation of “community resident prenotence attitude questionnaire.” All data were statistically analyzed, count data using χ2 test, P <0.05 for the difference was statistically significant. Results After the survey found that 39.4% of those who heard of living wills, but 68% said they are willing to understand and make living wishes after the conditions are ripe. Discrepancies in terms of age, marital status, education, address, occupation, medical bills, and religious beliefs influence the acceptance of living allowances. Factors such as gender, age, marital status, children with or without children, education level, occupation, medical fees and religious beliefs affect residents’ approval of their living wills. Conclusions The residents with different demographic characteristics should be classified, and the more appropriate propaganda methods should be adopted to popularize the communication. Combine this cutting-edge bioethical concept with the residents’ social psychology and traditional practices. It is recommended that the community and the government give priority to the legalization of living allowances and strengthen the cooperation of family doctors in the dissemination and popularization of work.