eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution：China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor：Chinese Nursing Association
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Chinese Journal of Nursing Education

Chinese Journal of Nursing Education >

2024 , Vol. 21 >Issue 10: 1247 - 1254

DOI: https://doi.org/10.3761/j.issn.1672-9234.2024.10.016

Health Education and Health Promotion

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

  • Yulin XU ,
  • Xianfang HAO ,
  • Qian CHEN ,
  • Hao LI ,
  • Jingshuang BAI ,
  • Yu LU ,
  • Xiaodong WANG
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Received date: 2024-04-07

  Online published: 2024-10-24

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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

Cite this article

Yulin XU , Xianfang HAO , Qian CHEN , Hao LI , Jingshuang BAI , Yu LU , Xiaodong WANG . 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 . DOI: 10.3761/j.issn.1672-9234.2024.10.016

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