The characteristics and motivations of taiwanese people toward advance care planning in outpatient clinics at a community hospital

Chih Chieh Yen, Cheng Pei Lin, Yu Ting Su, Chiu Hua Tsu, Li Mei Chang, Zih Jie Sun, Bing Sheng Lin, Jin Shang Wu*

*此作品的通信作者

研究成果: Article同行評審

3 引文 斯高帕斯(Scopus)

摘要

Advance care planning (ACP) provides access to complete advance decisions (ADs). Despite the legalization of ACP in Taiwan, it is underutilized in community settings. The objective of this study is to describe the service at a community hospital in Southern Taiwan. We retrospectively analyzed participants who were engaged in ACP consultations from January 2019 to January 2020. The characteristics, motivations, content, and satisfaction of participants are reported. Factors associated with refusing life-sustaining treatments (LST) or artificial nutrition/hydration (ANH) were analyzed using multivariate logistic regression. Of the 178 participants, 123 completed the ACP. The majority were female (64.2%), aged 61 on average and more than 80% had never signed a do-not-resuscitate order. In the ADs, most participants declined LST (97.2%) and ANH (96.6%). Family-related issues (48.9%) were the most prevalent motivations. Rural residence (OR 8.6, p = 0.005), increased age (OR 7.2, p = 0.025), and reluctance to consent to organ donation (OR 5.2, p = 0.042) cor-related with refusing LST or ANH. Participants provided a positive feedback regarding overall satisfaction (good, 83%) compared to service charge (fair/poor, 53%). The study demonstrated high AD completion when refusing LST or ANH. These findings may facilitate the development of ACP as a community-based service.

原文English
文章編號2821
頁(從 - 到)1-14
頁數14
期刊International journal of environmental research and public health
18
發行號6
DOIs
出版狀態Published - 2 3月 2021

指紋

深入研究「The characteristics and motivations of taiwanese people toward advance care planning in outpatient clinics at a community hospital」主題。共同形成了獨特的指紋。

引用此