Study of communication preferences for advance care planning in elderly hospitalized patients and nursing implications
10.3761/j.issn.0254-1769.2025.18.003
- VernacularTitle:老年住院患者对预立医疗照护计划沟通的偏好研究及护理启示
- Author:
Zhiqiong SHENG
1
;
Zhen REN
;
Bingning LIU
;
Yanjie DING
;
Shuhuan LI
;
Yuwen LIU
;
Siyuan HUANG
;
Caixia SUN
Author Information
1. 325000 温州市 温州医科大学附属第一医院感染内科
- Publication Type:Journal Article
- Keywords:
Elderly;
Hospitalized Patients;
Advance Care Planning;
Preference Research;
Discrete Choice Experiment;
Palliative Care
- From:
Chinese Journal of Nursing
2025;60(18):2191-2196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the communication preferences for advance care planning(ACP)among elderly hospitalized patients and to provide references for improving the ACP implementation rate.Methods Convenience sampling was used to select elderly hospitalized patients from a tertiary hospital in Wenzhou City between April and November 2023.Face-to-face surveys were conducted using a general data collection form and a self-designed questionnaire on ACP communication preferences.Mixed Logit Model,willingness-to-pay analysis,relative importance analysis,and subgroup analysis were employed to explore preferences.Results 204 questionnaires were distributed and 200 valid questionnaires were recovered,with a valid questionnaire response rate of 98.04％.The Mixed Logit Model analysis indicated that key attributes-communication timing,communication form,family participation in ACP communication,legal validity of ACP documents,and out-of-pocket costs-significantly influenced preferences(P＜0.05).Willingness-to-pay analysis showed that changes in communication timing,communication form,and family participation altered patients' willingness to pay.Relative importance analysis ranked the top 3 attributes as commu-nication timing,communication form,and family participation.Subgroup analysis revealed that gender,education level,and residence location affected preferences(P＜0.05).Conclusion Key attributes of ACP communication affect elderly hospitalized patients' preferences and willingness to pay,with variations across subgroups.Healthcare professionals should develop optimal communication programs based on patient preferences and individual characteristics.
