Advance care planning for patients and their relatives

被引：14

作者：

Skorstengaard, Marianne H. ^{[1
]}

Brogaard, Trine ^{[2
]}

Jensen, Anders Bonde ^{[1
]}

Andreassen, Pernille ^{[3
]}

Bendstrup, Elisabeth ^{[4
]}

Lokke, Anders ^{[4
]}

Aagaard, Susanne ^{[5
]}

Wiggers, Henrik ^{[5
]}

Johnsen, Anna Thit ^{[6
,7
]}

Neergaard, Mette Asbjoern ^{[1
,8
]}

机构：

[1] Aarhus Univ Hosp, Dept Oncol, Aarhus, Denmark

[2] Aarhus Univ, Dept Publ Hlth, Res Unit Gen Practice, Aarhus, Denmark

[3] Aarhus Univ, Ctr Hlth Sci Educ, Aarhus, Denmark

[4] Aarhus Univ Hosp, Dept Resp Dis & Allergy, Aarhus, Denmark

[5] Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark

[6] Copenhagen Univ Hosp, Bispebjerg Hosp, Dept Palliat Med, Res Unit, Copenhagen, Denmark

[7] Univ Southern Denmark, Dept Psychol, Odense, Denmark

[8] Aarhus Univ Hosp, Dept Oncol, Palliat Care Team, Aarhus, Denmark

来源：

INTERNATIONAL JOURNAL OF PALLIATIVE NURSING | 2019年 / 25卷 / 03期

关键词：

Quality-of-life; Depression; Cancer; Heart disease; Lung disease; PALLIATIVE CARE; FAMCARE SCALE; CANCER; DISEASE; DEATH; END; DISCUSSIONS; PLACE; LUNG;

D O I：

10.12968/ijpn.2019.25.3.112

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Advance care planning (ACP) has been suggested to improve the quality of life (QoL) and mental wellbeing in severely ill patients and their relatives. Aim: To investigate the effects of ACP among patients with lung, heart and cancer diseases with an estimated life-span of up to 12 months. Methods: Patients and relatives were randomised into two groups: one receiving usual care and one receiving ACP and usual care. Themes from the ACP discussion were documented in patients' electronic medical file. Participants completed self-reported questionnaires four to five weeks after randomisation. Findings: In total, 141 patients and 127 relatives participated. No significant differences were found according to outcomes. However, patients with non-malignant diseases had the highest level of anxiety and depression; these patients seemed to benefit the most from ACP, though not showing statistically significant results. Conclusion: No significant effects of ACP among patients with lung, heart, and cancer diseases and their relatives regarding HRQoL, anxiety, depression, and satisfaction with healthcare were found.

引用

页码：112 / 127

页数：16

共 36 条

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