advance care planning;
end-of-life treatment;
heart failure;
ASSOCIATION;
D O I:
10.1097/NJH.0000000000000988
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
This study explored the effects of advance care planning interventions on end-of-life treatment decisions among patients with heart failure. The study design was a randomized controlled trial. An intervention involving a motivational video, a cartoon version educational brochure, and a guided discussion was implemented. A total of 82 hospitalized patients with heart failure were recruited. Half of the participants received the intervention, and the other half received routine care. The Life Support Preferences Questionnaire was the primary measurement instrument. Before the advance care planning intervention, a significant difference between the experimental and control groups was observed in the cardiopulmonary resuscitation score but not the total, antibiotics, surgery, and artificial nutrition and hydration scores. In the experimental group but not in the control group, significant differences were observed between pretest and posttest total, antibiotics, cardiopulmonary resuscitation, surgery, and artificial nutrition and hydration scores. Significant differences in mean score changes were observed in total and each treatment score between the experimental and control groups. The advance care planning intervention led participants to select fewer medical treatments. This intervention may be suitable for societies where people are unfamiliar with advance care planning and may feel uncomfortable discussing death.
机构:
Univ Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Cavanagh, Casey E.
Rosman, Lindsey
论文数: 0引用数: 0
h-index: 0
机构:
Univ North Carolina Chapel Hill, Dept Med, Div Cardiol, Chapel Hill, NC USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Rosman, Lindsey
Chui, Philip
论文数: 0引用数: 0
h-index: 0
机构:
Yale Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Chui, Philip
Minges, Karl
论文数: 0引用数: 0
h-index: 0
机构:
Yale Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT USA
Yale Sch Med, Ctr Outcomes Res & Evaluat, New Haven, CT USA
Univ New Haven, Dept Hlth Adm & Policy, West Haven, CT USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Minges, Karl
Desai, Nihar R.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT USA
Yale Sch Med, Ctr Outcomes Res & Evaluat, New Haven, CT USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Desai, Nihar R.
论文数: 引用数:
h-index:
机构:
Goodlin, Sarah
Fedson, Savitri
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Micheal E DeBakey VA Med Ctr, Ctr Med Eth & Hlth Policy, Dept Med, Houston, TX USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Fedson, Savitri
Spertus, John A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Missouri, Dept Biomed & Hlth Informat, Sect Cardiovasc Dis, Kansas City, MO USA
Univ Missouri, Dept Internal Med, Sect Cardiovasc Dis, Kansas City, MO USA
St Lukes Mid Amer Heart Inst, Kansas City, MO USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Spertus, John A.
Gluckman, Ty J.
论文数: 0引用数: 0
h-index: 0
机构:
Providence Heart Inst, Ctr Cardiovasc Analyt Res & Data Sci CARDS, Providence St Joseph Hlth, Providence, OR USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Gluckman, Ty J.
Song, Yang
论文数: 0引用数: 0
h-index: 0
机构:
Baim Inst Clin Res, Boston, MA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Song, Yang
Zheng, Luke
论文数: 0引用数: 0
h-index: 0
机构:
Baim Inst Clin Res, Boston, MA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Zheng, Luke
Turchin, Alexander
论文数: 0引用数: 0
h-index: 0
机构:
Baim Inst Clin Res, Boston, MA USA
Harvard Med Sch, Boston, MA USA
Brigham & Womens Hosp, Div Endocrinol, Dept Med, Boston, MA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Turchin, Alexander
Doros, Gheorghe
论文数: 0引用数: 0
h-index: 0
机构:
Baim Inst Clin Res, Boston, MA USA
Boston Univ, Dept Biostat, Boston, MA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Doros, Gheorghe
Lee, Jane J.
论文数: 0引用数: 0
h-index: 0
机构:
Baim Inst Clin Res, Boston, MA USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Lee, Jane J.
Burg, Matthew M.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT USA
Yale Sch Med, Dept Anesthesiol, New Haven, CT USAUniv Virginia, Dept Psychiat & Neurobehav Sci, Sch Med, Charlottesville, VA USA
Burg, Matthew M.
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES,
2023,
16
(01):
机构:
Mem Sloan Kettering Canc Ctr, Dept Med Med Oncol, 1275 York Ave, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Dept Med Med Oncol, 1275 York Ave, New York, NY 10065 USA
Agarwal, Rajiv
Epstein, Andrew S.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Gastrointestinal Oncol Serv, 1275 York Ave, New York, NY 10021 USA
Mem Sloan Kettering Canc Ctr, Palliat Med Serv, 1275 York Ave, New York, NY 10021 USAMem Sloan Kettering Canc Ctr, Dept Med Med Oncol, 1275 York Ave, New York, NY 10065 USA