Advance Care Planning Affects End-of-Life Treatment Preferences Among Patients With Heart Failure

被引:0
|
作者
Cheng, Hui-Chuan [1 ,2 ]
Wu, Shu-Fang Vivienne [3 ]
Chen, Yi-Hui [1 ]
Tsan, Ya-Hui [1 ]
Sung, Shih-Hsien [4 ]
Ke, Li-Shan [2 ,5 ]
机构
[1] Taipei Vet Gen Hosp, Dept Nursing, Taipei, Taiwan
[2] Natl Taipei Univ Nursing & Hlth Sci, Sch Nursing, Taipei, Taiwan
[3] Natl Taipei Univ Nursing & Hlth Sci, Taipei, Taiwan
[4] Taipei Vet Gen Hosp, Dept Internal Med, Div Cardiol, Taipei, Taiwan
[5] National Taipei Univ Nursing & Hlth Sci, Sch Nursing, S314,365 Mingde Rd, Taipei 112303, Taiwan
关键词
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.
引用
收藏
页码:E13 / E19
页数:7
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