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 New South Wales, Sch Clin Med, Sydney, NSW, Australia
St George Hosp, Renal Dept, Sydney, NSW, Australia
Univ New South Wales, Sydney, NSW 2052, AustraliaUniv New South Wales, Sch Clin Med, Sydney, NSW, Australia
Li, Kelly Chenlei
Brennan, Frank
论文数: 0引用数: 0
h-index: 0
机构:
St George Hosp, Renal Dept, Sydney, NSW, AustraliaUniv New South Wales, Sch Clin Med, Sydney, NSW, Australia
Brennan, Frank
Brown, Mark A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ New South Wales, Sch Clin Med, Sydney, NSW, Australia
St George Hosp, Renal Dept, Sydney, NSW, AustraliaUniv New South Wales, Sch Clin Med, Sydney, NSW, Australia
机构:
New York Med Coll, Westchester Med Ctr, Div Cardiol, Dept Med, Valhalla, NY 10595 USANew York Med Coll, Westchester Med Ctr, Div Cardiol, Dept Med, Valhalla, NY 10595 USA
机构:
New York Med Coll, Westchester Med Ctr, Div Cardiol, 100 Woods Rd, Valhalla, NY 10595 USANew York Med Coll, Westchester Med Ctr, Div Cardiol, 100 Woods Rd, Valhalla, NY 10595 USA
机构:
African Ctr Res End Of Life Care, Kigali, Rwanda
Univ Rwanda, Coll Med & Hlth Sci, Kigali, Rwanda
Rwandan Mil Hosp, KK 394 St, Kigali, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Ntizimira, Christian R.
Maniragaba, Theoneste
论文数: 0引用数: 0
h-index: 0
机构:
Rwanda Mil Hosp, Kigali, Rwanda
Univ Rwanda, Coll Med & Hlth Sci, Kigali, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Maniragaba, Theoneste
Ndoli, Diane A.
论文数: 0引用数: 0
h-index: 0
机构:
Rwanda Mil Hosp, Kigali, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Ndoli, Diane A.
Safari, Lambert C.
论文数: 0引用数: 0
h-index: 0
机构:
African Ctr Res End Of Life Care, Kigali, Rwanda
Univ Rwanda, Coll Med & Hlth Sci, Kigali, Rwanda
Butare Univ Teaching Hosp, Huye, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Safari, Lambert C.
Uwintsinzi, Anitha
论文数: 0引用数: 0
h-index: 0
机构:
Rwanda Mil Hosp, Kigali, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Uwintsinzi, Anitha
Uwinkindi, Francois
论文数: 0引用数: 0
h-index: 0
机构:
Rwanda Biomed Ctr, Noncommunicable Dis, Kigali, RwandaAfrican Ctr Res End Of Life Care, Kigali, Rwanda
Uwinkindi, Francois
ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN,
2023,
180
: 21
-
24
机构:
Univ Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Hosp DF Star, Educ Continuada, Brasilia, BrazilUniv Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Murakami, Beatriz Murata
Souza, Vitor Latorre
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Inst Dante Pazzanese Cardiol, Setor Hemodinam, Sao Paulo, BrazilUniv Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Souza, Vitor Latorre
Fadini Reis Brunori, Evelise Helena
论文数: 0引用数: 0
h-index: 0
机构:
Unidade Terapia Intens Neopediatr, Inst Dante Pazzanese Cardiol, Sao Paulo, BrazilUniv Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Fadini Reis Brunori, Evelise Helena
Dos Santos, Eduarda Ribeiro
论文数: 0引用数: 0
h-index: 0
机构:
Fac Israelita Ciencias Saude Albert Einstein, Sao Paulo, BrazilUniv Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Dos Santos, Eduarda Ribeiro
Lopes, Camila Takao
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
Univ Fed Sao Paulo, Escola Paulista Enfermagem, Rua Napoleao Barros 754, BR-04024002 Sao Paulo, BrazilUniv Fed Sao Paulo EPE UNIFESP, Escola Paulista Enfermagem, Sao Paulo, Brazil
机构:
Kaiser Permanente Mid Atlantic States, Silver Spring, MD USAKaiser Permanente Mid Atlantic States, Silver Spring, MD USA
Wingate, Sue
Wiegand, Debra Lynn-McHale
论文数: 0引用数: 0
h-index: 0
机构:
Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA
Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USAKaiser Permanente Mid Atlantic States, Silver Spring, MD USA
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Quattrone, Filippo
Aimo, Alberto
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Fdn Toscana Gabriele Monasterio, Cardiol Div, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Aimo, Alberto
Zuccarino, Sara
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Inst Management, Management & Healthcare Lab, Pisa, Italy
Scuola Super Sant Anna, Dept EMbeDS, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Zuccarino, Sara
Morelli, Maria Sole
论文数: 0引用数: 0
h-index: 0
机构:
Fdn Toscana Gabriele Monasterio, Bioinformat Traslaz & E Hlth, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Morelli, Maria Sole
Morfino, Paolo
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Morfino, Paolo
Gioia, Angela
论文数: 0引用数: 0
h-index: 0
机构:
Azienda USL Toscana Nord Ovest, UF Cure Palliat, Hosp, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Gioia, Angela
Passino, Claudio
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Scuola Super Sant Anna, Inst Management, Management & Healthcare Lab, Pisa, Italy
Scuola Super Sant Anna, Dept EMbeDS, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Passino, Claudio
Ferre, Francesca
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Scuola Super Sant Anna, Inst Management, Management & Healthcare Lab, Pisa, Italy
Scuola Super Sant Anna, Dept EMbeDS, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Ferre, Francesca
Nuti, Sabina
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Scuola Super Sant Anna, Inst Management, Management & Healthcare Lab, Pisa, Italy
Scuola Super Sant Anna, Dept EMbeDS, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Nuti, Sabina
Emdin, Michele
论文数: 0引用数: 0
h-index: 0
机构:
Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
Fdn Toscana Gabriele Monasterio, Cardiol Div, Pisa, ItalyScuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy