慢性心力衰竭患者预立医疗照护计划准备度水平及其影响因素分析  

The readiness for Advance Care Planning and its influencing factors among patients with Chronic Heart Failure

作　　者：原小岚 刘春兰[2] YUAN Xiaolan;LIU Chunlan(Shandong University School of Nursing,Jinan,250012,China)

机构地区：[1]山东大学护理学院,济南市250012 [2]山东大学齐鲁医院护理部

出　　处：《中国护理管理》2020年第7期990-995,共6页Chinese Nursing Management

摘　　要：目的:调查慢性心力衰竭患者的预立医疗照护计划(Advance Care Planning,ACP)准备度水平,并分析其影响因素,以期为ACP在国内的实施提供参考依据。方法:采用便利抽样方法,于2019年6—10月选取济南市两所三级甲等医院的190例慢性心力衰竭患者为研究对象,使用一般资料调查表、死亡态度描绘量表、预立医疗照护计划准备度量表进行评估。结果:慢性心力衰竭患者ACP准备度总分为(76.10±8.86)分,处于中等偏上水平;多元线性回归分析结果显示,受教育程度、宗教信仰、自觉生活质量、死亡态度(死亡逃避和自然接受)为慢性心力衰竭患者ACP准备度的主要影响因素(P<0.05)。结论:慢性心力衰竭患者ACP准备度较好,但死亡态度较为消极,医护人员应加强相应的死亡教育,帮助患者树立正确的死亡观,进一步提高患者对ACP的接受和认可程度,促进ACP的开展。Objective:To investigate the level of readiness and its influencing factors for Advance Care Planning(ACP)in patients with Chronic Heart Failure.Methods:A convenient sample of 190 patients with Chronic Heart Failure were enrolled from two tertiary hospitals in Ji'nan,between June and October in 2019.Patients completed the demographic and clinical characteristics questionnaire,the Advance Care Planning Readiness Scale and the Death Attitude Profile-Revised.Results:The mean score of ACP readiness among patients with Chronic Heart Failure was 76.10±8.86,which was above the medium level.Multiple regression analysis found that education level,religion,perceived quality of life,and attitudes toward death were the main factors influencing the level of ACP readiness among patients(P<0.05).Conclusion:The level of ACP readiness in patients with Chronic Heart Failure is relatively high,with a considerably negative attitude towards death.Health care providers should strengthen educational components toward death and help patients establish a correct perception for death,therefore to further promote the acceptance and development of Advance Care Planning.

关 键 词：慢性心力衰竭 预立医疗照护计划 准备度 死亡态度 

分 类 号：R47[医药卫生—护理学]