终末期心力衰竭患者预立医疗照护计划干预方案的构建及应用研究

doi:10.3761/j.issn.1672-9234.2024.10.016

Abstract

Abstract:

Objective To construct an advance care planning(ACP) intervention program and explore its effectiveness in patients with end-stage heart failure(ESHF). Methods Based on the heart-failure-specific question prompt list,the ACP intervention program was developed. From January 2022 to June 2023,80 patients with ESHF admitted to a tertiary hospital were recruited and divided into an experimental group(n=40) and a control group (n=40) based on their ward assignments. The control group received routine care,while the experimental group received the ACP intervention program in addition to routine care. Before and after the intervention,scores on the Templer’s Death Anxiety Scale(T-DAS),Meaning in Life Questionnaire(MLQ),Good Death Inventory(GDI) were compared between the two groups. Results A total of 74 patients completed the study(35 from the experimental group and 39 from the control group). Before the intervention,there were no statistically significant differences in the scores of the T-DAS,MLQ,and GDI between the two groups(P>0.05). After the intervention,the experimental group had lower T-DAS scores and higher MLQ and GDI scores compared to those in the control group(all P<0.05). Conclusion The application of the ACP intervention program can help reduce death anxiety,enhance feelings of meaning in life,and improve expectations for a good death among patients with ESHF.

Key words: Heart Failure, Advance Care Planning, Question prompt list, End stage

XU Yulin, HAO Xianfang, CHEN Qian, LI Hao, BAI Jingshuang, LU Yu, WANG Xiaodong. Construction of advance care planning intervention program and its application in patients with end-stage heart failure[J].Chinese Journal of Nursing Education, 2024, 21(10): 1247-1254.

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References 25

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Construction of advance care planning intervention program and its application in patients with end-stage heart failure

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