Angeles Roland Reuben B, Jorge Manuel C, Abat Marc Evans M
Philippine General Hospital, University of the Philippines Manila.
Acta Med Philipp. 2023 Apr 28;57(4):41-50. doi: 10.47895/amp.vi0.2320. eCollection 2023.
To explore the current experiences and perspectives of patients with chronic obstructive pulmonary disease (COPD) with advance care planning (ACP).
A cross-sectional survey was conducted among patients diagnosed with COPD in the Philippine General Hospital. Results were illustrated using descriptive statistics.
A total of 90 patients were interviewed and included in the analysis. Nearly all patients were unfamiliar with the terms ACP (95.55%), end-of-life care (99.89%), and do-not-resuscitate order (100%). The majority expressed a desire to have ACP discussions (94.44%) which were not viewed as distressing and were deemed beneficial (96.67%). Patients who were employed were more likely to express readiness to sign legal papers. Patients living with their nuclear family or living alone, and those with higher COPD assessment test (CAT) scores were more likely to relegate health care decisions to their doctors.
Most patients with COPD in our cohort are unfamiliar with ACP and have not received ACP discussions. Most think that it will improve healthcare and quality of life. Some demographic and clinical factors may make patients more likely to engage in ACP-related activities.
探讨慢性阻塞性肺疾病（COPD）患者在预先护理计划（ACP）方面的当前经历和观点。
对菲律宾总医院诊断为COPD的患者进行横断面调查。结果采用描述性统计进行说明。
共采访了90名患者并纳入分析。几乎所有患者都不熟悉ACP（95.55%）、临终护理（99.89%）和不要复苏医嘱（100%）等术语。大多数患者表示希望进行ACP讨论（94.44%），他们并不认为这些讨论令人痛苦，反而认为是有益的（96.67%）。就业患者更有可能表示愿意签署法律文件。与核心家庭一起生活或独自生活的患者，以及COPD评估测试（CAT）得分较高的患者，更有可能将医疗保健决策委托给医生。
我们队列中的大多数COPD患者不熟悉ACP，也未接受过ACP讨论。大多数人认为这将改善医疗保健和生活质量。一些人口统计学和临床因素可能使患者更有可能参与与ACP相关的活动。
