Application of advance care planning education intervention based on the respecting choices model in advanced cancer patients
10.3760/cma.j.cn115682-20240425-02339
- VernacularTitle:基于尊重选择模型的ACP教育干预在晚期肿瘤患者中的应用
- Author:
Qifen LIU
1
;
Shuzhen ZHANG
;
Junfeng ZHANG
;
Jingzhi LI
Author Information
1. 广东药科大学护理学院，广州 510220
- Publication Type:Journal Article
- Keywords:
Neoplasms;
Respecting choice;
Advance care planning;
Palliative care;
Quality of life
- From:
Chinese Journal of Modern Nursing
2024;30(36):4969-4974
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of an advance care planning (ACP) education intervention based on the respecting choices model for patients with advanced cancer.Methods:A total of 78 advanced cancer patients admitted to Songshan Lake Central Hospital of Dongguan City from April 2022 to September 2023 were selected by convenient sampling and divided randomly into an observation group and a control group (39 patients each). The control group received standard care, while the observation group received the ACP education intervention in addition to standard care, based on the respecting choices model. The ACP Readiness Scale (ACPRS-C), the Palliative Care Attitudes Scale (PCAS-9), and the Functional Assessment of Cancer Therapy-General (FACT-G) scale were used to assess both groups at baseline, immediately post-intervention, and four weeks after the intervention.Results:Post-intervention scores on the ACPRS-C, PCAS-9, and FACT-G were significantly higher in the observation group compared to the control group. Group effects, time effects, and interaction effects were observed ( P<0.01) . Conclusions:The ACP education intervention based on the respecting choices model effectively improves ACP readiness, palliative care attitudes, and quality of life in patients with advanced cancer.
