Summary of evidence to facilitate the implementation of advance care planning among advanced cancer patients
10.11817/j.issn.1672-7347.2024.230291
- VernacularTitle:促进晚期癌症患者预立医疗照护计划实施的证据总结
- Author:
Minghui TAN
1
;
Siyuan TANG
;
Chongmei HUANG
;
Jinnan XIAO
;
Jinfeng DING
Author Information
1. 中南大学湘雅护理学院,长沙 410013
- Keywords:
advanced cancer;
advance care planning;
palliative care;
evidence summary
- From:
Journal of Central South University(Medical Sciences)
2024;49(1):135-144
- CountryChina
- Language:Chinese
-
Abstract:
Advance care planning(ACP)is designed to ensure that patients lacking autonomous decision-making capacity receive medical services in accordance with their expectations and preferences.Individuals with advanced cancer are a crucial target for ACP implementation.However,the current practice of ACP in this group in China is suboptimal,demanding high-quality implementation evidence to strengthen ACP in the clinical practice of patients with advanced cancer.The existing literature can be summarized into 27 pieces of evidence across 7 dimensions,including initiation time,intervention content,intervention providers,intervention modalities,communication skills,outcome indicators,and environmental support.The aforementioned evidence could provide crucial support for improving ACP implementation for patients with advanced cancer.Subsequent research efforts should integrate patient preferences and explore the most suitable implementation strategies for ACP in the Chinese population with advanced cancer,considering diverse aspects such as traditional culture,ACP education and training,legislative support,and healthcare system refinement.
