A review of the scope of barriers factor to the implementation of advance care planning for critically ill and end-life patients in China
10.3760/cma.j.cn211501-20230307-00562
- VernacularTitle:我国危重症与生命终末期患者预立医疗照护计划实施障碍因素的范围综述
- Author:
Xuna CHEN
1
;
Liwen ZHANG
;
Min QIAO
;
Haizhen LIANG
Author Information
1. 济宁医学院附属医院重症医学科，济宁 272000
- Keywords:
Advance care planning;
Critical illness;
The end of life;
Barriers factor;
Review
- From:
Chinese Journal of Practical Nursing
2024;40(6):464-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the barrier factors in the implementation of advance care planning for critically ill and end-life patients in China. Provide reference for the implementation of advance care planning in critically ill and end-life patients in China.Methods:The literature from CNKI, Chinese Biomedical Literature Database, Wanfang database, VIP, PubMed and Web of Science database on the implementation of advance care planning for critically ill and end-life patients in China were searched. The search deadline was from database establishment to January 15, 2023. To analyze the literature meeting the inclusion and exclusion criteria.Results:A total of 18 literatures were included, and the barrier factors to the implementation of advance care planning for critically ill and end-life patients in China included six categories (27 types): social and cultural factors (4 types), patient factors (4 types), family factors (5 types), medical staff factors (8 types), interpersonal interaction factors (4 types), policy and legal factors (2 types).Conclusions:The implementation of advance care planning for critically ill and end-life patients in China is affected by a variety of barrier factors. The improvement measures should be formulated according to the modifiable barrier factors to promote the implementation of advance medical care plan for critically ill and end-life patients in China.
