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Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative care
Journal article   Peer reviewed

Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative care

Ya-Ling Huang, Patsy Yates, Fred Arne Thornberg and Chiung-Jung Jo Wu
International Journal of Nursing Practice, Vol.28(4), e12940
08/2022
DOI: https://doi.org/10.1111/ijn.12940
PMID: 33826202
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Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative careView
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Abstract

social support adult culture health services Palliative care
Aim To explore the significance of culture, professional support in the community, social interactions and intrapersonal determinants of adults' preferences for life-sustaining treatments and palliative care. Methods A cross-sectional design with a Social Ecological Model was used. Between 1 October 2012 and 31 December 2012, 474 adults aged ≥20 years living in a city of Southern Taiwan completed the survey. Data were analysed using hierarchical multiple regression. Results The life-sustaining measures model was significant with 15.3% (p < 0.0001) of the variance in the Modified Emmanuel Medical Directives being explained by variables of death of self and healthcare services' support. The palliative care model was significant with 18% (p < 0.0001) of the variance in the Modified Hospice Attitude Scale being explained by variables of palliative care knowledge, death of self and social interactions. However, cultural value adherence did not predict adults' preferences for life-sustaining measures and community resources support did not predict palliative care preference. Conclusions Findings enhance our understanding of the significance of different societal levels on adults' preferences for end-of-life care. Palliative care knowledge, fear of death, healthcare services' support and social interactions are essential factors that need to be taken into consideration when it comes to discussion about life-sustaining treatments and palliative care.

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