Research progress on advance care planning for elderly patients with chronic diseases
10.12026/j.issn.1001-8565.2025.03.03
- VernacularTitle:老年慢性病患者预立医疗照护计划的研究进展
- Author:
Yongpeng SUN
1
;
Song LI
1
;
Kangli SHI
1
;
Guiying FENG
1
Author Information
1. School of Nursing, Chengde Medical University, Chengde 067000, China
- Publication Type:Journal Article
- Keywords:
advance care planning;
the elderly;
chronic disease
- From:
Chinese Medical Ethics
2025;38(3):281-288
- CountryChina
- Language:Chinese
-
Abstract:
With the continuous intensification of aging, chronic diseases among the elderly have become a widely concerned public health issue. In the terminal stage, they often lose the ability to express their medical care wishes autonomously, leading to a disconnect between medical decision-making and the actual needs of the patients and increasing their physical and psychological suffering. With the rapid aging process in China, the incidence of chronic diseases in the elderly is continuously rising, which has become a serious public health problem. Studies have shown that advance care planning (ACP) has achieved remarkable results in maintaining the dignity of life for terminal chronic disease patients, improving patients’ quality of life, as well as alleviating the physical, mental, and economic burdens on their families. Therefore, the implementation of ACP is crucial for elderly patients with chronic diseases. This paper reviewed the concept of ACP, as well as application effects, challenges and limitations, and corresponding recommendations and countermeasures of ACP in elderly patients with chronic diseases, with a view to providing a solid theoretical and practical basis for the application of ACP in elderly population with chronic diseases in China.