Advance care planning readiness among older adults in aged service centers:A cross-sectional study  

长期照护机构中老年人预立医疗照护计划准备度的调查及影响因素分析

作　　者：Kalok Wong Haobin Yuan Stephen Tee Sinkei Cheong 王嘉乐;袁浩斌;Stephen Tee;张倩琪

机构地区：[1]Department of Palliative Care Ward,Centro Hospitalar Conde de Sao Januario,Macao,China [2]Faculty of Health Sciences and Sports,Macao Polytechnic University,Macao,China [3]Faculty of Health and Social Sciences,Bournemouth University,England,UK [4]Intensive Care Unit,Centro Hospitalar Conde de Sao Januario,Macao,China

出　　处：《International Journal of Nursing Sciences》2025年第1期59-64,I0003,共7页国际护理科学(英文)

摘　　要：Objective:This study aimed to explore the readiness for advance care planning(ACP)among older adults in Macao’s day service centers and investigate the influencing factors.Methods:A cross-sectional study was conducted from October to December 2022 using a convenience sampling method.A total of 312 older adults were selected from 13 day service centers for older adults in Macao,China.The Advance Care Planning Acceptance Questionnaire and the Family Adaptation,Partnership,Growth,Affection,Resolve(APGAR)Scale were used to survey the older adults.Results:A total of 306 older adults completed the survey.The score for advance care planning readiness was 65.55±10.69,and 59.5%of participants(n=182)were willing to participate in ACP.The family function score was 7.24±2.51,while 70.3%of participants were from a highly functional family.The higher family function indicating a higher readiness for advance care planning(r=0.396,P<0.001).The multiple linear regression analysis indicated that the variables“age,”“knowledge of ACP,”“experience with ACP,”and“received resuscitation of yourself,relatives or friends”combined with“family function”can influence advance care planning readiness among older adults(R^(2)=0.317,F=27.898,P<0.001).Conclusions:Older adults in Macao’s day service centers were willing to engage in ACP.The importance of family involvement is highlighted in the ACP readiness.Health education and improved family communication are vital for promoting ACP,which ensures individuals receive care when they lack the capacity to make that choice.Additionally,healthcare professionals should enhance communication and education with older adults during the medical care process.目的该研究探讨中国澳门长期照护机构中老年人对预立医疗照护计划的准备度,并分析其影响因素。方法于2022年10月至12月,采用方便取样法在中国澳门13所长期照护机构选取312名老年人为研究对象。采用预立医疗照护计划接受程度调查问卷和家庭适应、伙伴关系、成长、情感、决心量表对老年人进行调查。结果最终306名老年人完成调查。预立医疗照护计划准备度得分为(65.55±10.69)分以及59.5%的老年人愿意参加预立医疗照护计划,家庭功能得分为(7.24±2.51)分,而70.3%的老年人来自高功能家庭。家庭功能越高表示对预立医疗照护计划的准备程度越高(r=0.396,P<0.001)。多元线性回归分析结果表明,年龄、对预立医疗照护计划的了解、预立医疗照护计划的经验、自己或亲友接受过复苏的经验、家庭功能等因素影响老年人预立医疗照护计划准备度(P<0.001)。结论健康教育和改善家庭沟通对于医护人员促进预立医疗照护计划的实施至关重要,同时医护人员医疗照护过程中也要加强与老年人的沟通和教育。

关 键 词：Advance care planning Aged Macao China READINESS 

分 类 号：R473[医药卫生—护理学]