Department of Gerontology, Faculty of Health Sciences, University of Akdeniz, Antalya 07070, Turkey.
Department of Gerontology, Faculty of Health Sciences, University of Turgut Ozal, Malatya 44210, Turkey.
Int J Environ Res Public Health. 2023 May 10;20(10):5780. doi: 10.3390/ijerph20105780.
The objective of this systematic review is to present older individuals' views on the advance care planning (ACP) process and the factors affecting those opinions. The review contains search terms predetermined in the databases of CINAHL, MEDLINE (via PubMed), Academic Search Ultimate, Web of Science, Master FILE, and TR Dizin over the last 10 years (1 January 2012-31 December 2021) in English and Turkish. The studies were included in the research using inclusion (sample age ≥ 50, focusing on individuals' opinions on ACP) and exclusion (articles whose samples consisted of individuals with a specific disease, non-research articles) criteria. Quality assessment was conducted using the Mixed Methods Appraisal Tool. A narrative synthesis was used to collate findings. The most striking results are the positive perspectives increasing in parallel with the individuals' level of knowledge and experience about ACP. Variables affecting their views are advanced age, marital status, socioeconomic status, perception of remaining life expectancy, self-perceived health, number and stage of chronic diseases, religion, and cultural characteristics. This study offers guidance on the application and dissemination of ACP, empowering the use of this practice given the perspectives of older adults on ACP and the factors that affect them that the data show.
本次系统评价的目的是呈现老年人对预先医疗照护计划（ACP）过程的看法，以及影响这些观点的因素。该研究在过去 10 年（2012 年 1 月 1 日至 2021 年 12 月 31 日）中，使用英文和土耳其文，在 CINAHL、MEDLINE（通过 PubMed）、Academic Search Ultimate、Web of Science、MasterFILE 和 TR Dizin 数据库中预先确定了检索词。研究使用纳入（样本年龄≥50 岁，重点关注个人对 ACP 的看法）和排除标准（样本由特定疾病患者组成、非研究性文章的文章）纳入研究。使用混合方法评估工具进行质量评估。使用叙述性综合方法整理研究结果。最引人注目的结果是，随着个人对 ACP 的了解和经验的增加，对 ACP 的积极看法也在增加。影响他们观点的变量包括年龄较大、婚姻状况、社会经济地位、对剩余预期寿命的感知、自我感知的健康状况、慢性疾病的数量和阶段、宗教和文化特征。本研究为 ACP 的应用和传播提供了指导，根据老年人对 ACP 的看法以及数据显示影响这些看法的因素，赋予了使用这种实践的权力。
