Professor, Department of Long-Term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, No.365, Ming-te Road, Peitou District, Taipei 112303, Taiwan.
Professor, School of Nursing, College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan; Professor, Healthy Aging Research Center, Chang Gung University, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan; Research Fellow, Dementia Center, Department of Neurology, Chang Gung Memorial Hospital, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan.
Geriatr Nurs. 2023 Mar-Apr;50:143-151. doi: 10.1016/j.gerinurse.2023.01.018. Epub 2023 Feb 11.
This study examined factors associated with the intention to engage in advance care planning among persons with cognitive impairment. This cross-sectional study recruited 116 persons with cognitive impairment by convenience sampling from two teaching hospitals in Northern Taiwan from November 1, 2018, to December 31, 2020. Fewer than 50% of the participants intended to engage in advance care planning, and less than 10% signed the living will for hospice and palliative care. Multivariate linear regression determined factors influencing advance care planning intention included education level, a proxy signed do-not-resuscitate document, belief that family members would provide a signed do-not-resuscitate at their end-of-life, and necessity of explaining future care in advance. It is recommended to popularize advance care planning education and ensure the rights of persons with cognitive impairment to enable them to fully participate in their own care plans through family-centered advance care planning.
本研究旨在探讨认知障碍患者进行预先护理计划的意愿相关因素。这项横断面研究通过便利抽样，于 2018 年 11 月 1 日至 2020 年 12 月 31 日从台湾北部的两家教学医院招募了 116 名认知障碍患者。不到 50%的参与者表示有意进行预先护理计划，不到 10%的人签署了临终和姑息治疗的生前预嘱。多变量线性回归确定了影响预先护理计划意愿的因素包括教育水平、代理人签署了不复苏文件、相信家属在患者生命末期会签署不复苏，以及提前解释未来护理的必要性。建议普及预先护理计划教育，并确保认知障碍患者的权利，使他们能够通过以家庭为中心的预先护理计划充分参与自己的护理计划。
