Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Academic Internal Medicine and Geriatrics, University of Illinois at Chicago, Chicago, Illinois, USA.
BMJ Open. 2021 Oct 28;11(10):e052170. doi: 10.1136/bmjopen-2021-052170.
To assess awareness and attitudes towards engaging in advance care planning (ACP) and their relationship with demographic, socioeconomic and religiosity factors among Lebanese middle-aged to older-aged adults in primary care.
A cross-sectional survey study.
Tertiary referral hospital in Beirut, Lebanon.
A total of 215 middle-aged to older-aged adults.
Out of 215 participants, 18.6% of participants knew about ACP; 94% favoured truth-telling; 87.4% favoured healthcare autonomy; 77.2% favoured documenting their own health values and preferences; and 29.3% were willing to undergo life-prolonging interventions. Among participants who were aware of ACP, 67.5% preferred ACP documentation and 85% had negative attitudes towards life-sustaining interventions. Women were more aware about ACP than men. Those who were willing to undergo life-prolonging interventions were found to be men and had higher religiosity scores.
Large deficit in ACP awareness was evident despite the high preference for healthcare autonomy. Medical and public health efforts should strive to enhance patients' ACP awareness and engagement in ACP while considering factors relevant to gender, culture and religiosity.
评估在黎巴嫩初级保健中，中年至老年成年人对参与预先护理计划（ACP）的认识和态度及其与人口统计学、社会经济和宗教信仰因素的关系。
横断面调查研究。
贝鲁特的一家黎巴嫩三级转诊医院。
共 215 名中年至老年成年人。
在 215 名参与者中，18.6%的参与者了解 ACP；94%的参与者赞成说实话；87.4%的参与者赞成医疗保健自主权；77.2%的参与者赞成记录自己的健康价值观和偏好；29.3%的参与者愿意接受延长生命的干预措施。在了解 ACP 的参与者中，67.5%的人更倾向于 ACP 文件记录，85%的人对维持生命的干预措施持负面态度。女性比男性更了解 ACP。那些愿意接受延长生命的干预措施的人是男性，而且宗教信仰得分更高。
尽管人们非常赞成医疗保健自主权，但 ACP 的知晓率却存在巨大的不足。医疗和公共卫生工作应该努力提高患者对 ACP 的认识，并鼓励他们参与 ACP，同时考虑与性别、文化和宗教信仰相关的因素。
