Advance care planning acceptance and its influencing factors in heart failure patients
10.3760/cma.j.cn211501-20200530-02552
- VernacularTitle:心力衰竭患者预立医疗照护计划接受度现状及其影响因素分析
- Author:
Yuan LIU
;
Lin TAO
;
Yongju PEI
;
Yinping YI
;
Yanhong SHEN
;
Yu SHAN
;
Yuefei HAO
- From:
Chinese Journal of Practical Nursing
2021;37(5):363-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the acceptance of advance care planning and its influencing factors in heart failure patients.Methods:A total of 208 patients with heart failure were surveyed by general data questionnaires and advance care planning acceptance questionnaires.Results:The total score of advance care planning acceptance of heart failure patients was (44.26 ± 11.73), the score of feeling dimension was (13.67 ± 5.72), the score of attitude dimension was (30.59 ± 6.33). 53.4%(111/208) of patients were willing to accept the talking about advance care planning. Regression analysis results showed that education level, New York Heart Association (NYHA) classification, communication status with medical staff and whether they had received life-sustaining treatment were important factors influencing of the acceptance of advance care planning in patients with heart failure.Conclusion:Patients with heart failure had higher acceptance of advance care planning. In clinical work, it is necessary to strengthen the scientific popularization of advance care planning in patients with low education level, low NYHA grade and no exposure to life-sustaining treatment. And strengthen the daily communication with patients to prepare for the follow-up advance care planning related communication.
