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
相关论文
共 50 条
  • [31] The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients With Multimorbidity
    McDermott, Cara L.
    Engelberg, Ruth A.
    Khandelwal, Nita
    Steiner, Jill M.
    Feemster, Laura C.
    Sibley, James
    Lober, William B.
    Curtis, J. Randall
    AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2021, 38 (08): : 954 - 962
  • [32] Association of illness understanding with advance care planning and end-of-life care preferences for advanced cancer patients and their family members
    Yoo, Shin Hye
    Lee, Jihye
    Kang, Jung Hun
    Maeng, Chi Hoon
    Kim, Yu Jung
    Song, Eun-Kee
    Koh, Youngil
    Yun, Hwan-Jung
    Shim, Hyun-Jeong
    Kwon, Jung Hye
    Nam, Eun Mi
    Kang, EunKyo
    Choo, Jiyeon
    Yun, Young Ho
    SUPPORTIVE CARE IN CANCER, 2020, 28 (06) : 2959 - 2967
  • [33] Association of illness understanding with advance care planning and end-of-life care preferences for advanced cancer patients and their family members
    Shin Hye Yoo
    Jihye Lee
    Jung Hun Kang
    Chi Hoon Maeng
    Yu Jung Kim
    Eun-Kee Song
    Youngil Koh
    Hwan-Jung Yun
    Hyun-Jeong Shim
    Jung Hye Kwon
    Eun Mi Nam
    EunKyo Kang
    Jiyeon Choo
    Young Ho Yun
    Supportive Care in Cancer, 2020, 28 : 2959 - 2967
  • [34] Advance Care Planning-Complex and Working: Longitudinal Trajectory of Congruence in End-of-Life Treatment Preferences: An RCT
    Lyon, Maureen E.
    Caceres, Sarah
    Scott, Rachel K.
    Benator, Debra
    Briggs, Linda
    Greenberg, Isabella
    D'Angelo, Lawrence J.
    Cheng, Yao I.
    Wang, Jichuan
    AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2021, 38 (06): : 634 - 643
  • [35] The role of mediation in advance care planning and end-of-life care
    Sinclair, Craig
    Davidson, Catherine
    Auret, Kirsten
    AUSTRALIAN FAMILY PHYSICIAN, 2016, 45 (1-2) : 69 - 73
  • [36] End-of-life care in heart failure
    Goodlin S.J.
    Current Cardiology Reports, 2009, 11 (3) : 184 - 191
  • [37] Impact of advance care planning on end-of-life management
    Lunder, Urska
    Cerv, Branka
    Kodba-Ceh, Hana
    CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, 2017, 11 (04) : 293 - 298
  • [38] Advance directives, perioperative care and end-of-life planning
    Silvester, William
    Detering, Karen
    BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2011, 25 (03) : 451 - 460
  • [39] Advance Care Planning, End-of-Life Preferences, and Burdensome Care A Pragmatic Cluster Randomized Clinical Trial
    Wolff, Jennifer L.
    Scerpella, Danny
    Giovannetti, Erin R.
    Roth, David L.
    Hanna, Valecia
    Hussain, Naaz
    Colburn, Jessica L.
    Saylor, Martha Abshire
    Boyd, Cynthia M.
    Cotter, Valerie
    Mcguire, Maura
    Rawlinson, Christine
    Sloan, Danetta H.
    Richards, Thomas M.
    Walker, Kathryn
    Smith, Kelly M.
    Dy, Sydney M.
    JAMA INTERNAL MEDICINE, 2025, 185 (02) : 162 - 170
  • [40] Are Patient Preferences for End-of-Life Care Socially Influenced? Examining Racial Disparities in Advance Care Planning
    Hlubocky, Fay J.
    CANCER, 2014, 120 (24) : 3866 - 3869