TY - JOUR
T1 - Advance Care Planning Affects End-of-Life Treatment Preferences Among Patients With Heart Failure
T2 - A Randomized Controlled Trial
AU - Cheng, Hui Chuan
AU - Wu, Shu Fang Vivienne
AU - Chen, Yi Hui
AU - Tsan, Ya Hui
AU - Sung, Shih Hsien
AU - Ke, Li Shan
N1 - Publisher Copyright:
Copyright © 2023 by The Hospice and Palliative Nurses Association. All rights reserved.
PY - 2024/2/1
Y1 - 2024/2/1
N2 - This study explored the effects of advance care planning interventions on end-of-life treatment decisions among patients with heart failure. The study design was a randomized controlled trial. An intervention involving a motivational video, a cartoon version educational brochure, and a guided discussion was implemented. A total of 82 hospitalized patients with heart failure were recruited. Half of the participants received the intervention, and the other half received routine care. The Life Support Preferences Questionnaire was the primary measurement instrument. Before the advance care planning intervention, a significant difference between the experimental and control groups was observed in the cardiopulmonary resuscitation score but not the total, antibiotics, surgery, and artificial nutrition and hydration scores. In the experimental group but not in the control group, significant differences were observed between pretest and posttest total, antibiotics, cardiopulmonary resuscitation, surgery, and artificial nutrition and hydration scores. Significant differences in mean score changes were observed in total and each treatment score between the experimental and control groups. The advance care planning intervention led participants to select fewer medical treatments. This intervention may be suitable for societies where people are unfamiliar with advance care planning and may feel uncomfortable discussing death.
AB - This study explored the effects of advance care planning interventions on end-of-life treatment decisions among patients with heart failure. The study design was a randomized controlled trial. An intervention involving a motivational video, a cartoon version educational brochure, and a guided discussion was implemented. A total of 82 hospitalized patients with heart failure were recruited. Half of the participants received the intervention, and the other half received routine care. The Life Support Preferences Questionnaire was the primary measurement instrument. Before the advance care planning intervention, a significant difference between the experimental and control groups was observed in the cardiopulmonary resuscitation score but not the total, antibiotics, surgery, and artificial nutrition and hydration scores. In the experimental group but not in the control group, significant differences were observed between pretest and posttest total, antibiotics, cardiopulmonary resuscitation, surgery, and artificial nutrition and hydration scores. Significant differences in mean score changes were observed in total and each treatment score between the experimental and control groups. The advance care planning intervention led participants to select fewer medical treatments. This intervention may be suitable for societies where people are unfamiliar with advance care planning and may feel uncomfortable discussing death.
KW - advance care planning
KW - end-of-life treatment
KW - heart failure
UR - http://www.scopus.com/inward/record.url?scp=85182016218&partnerID=8YFLogxK
U2 - 10.1097/NJH.0000000000000988
DO - 10.1097/NJH.0000000000000988
M3 - Article
C2 - 37815261
AN - SCOPUS:85182016218
SN - 1522-2179
VL - 26
SP - E13-E19
JO - Journal of Hospice and Palliative Nursing
JF - Journal of Hospice and Palliative Nursing
IS - 1
ER -