Advance care planning readiness among community-dwelling older adults and the influencing factors: a scoping review.

IF 2.5 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

BMC Palliative Care Pub Date : 2024-11-04 DOI:10.1186/s12904-024-01583-4

Fang Gao, Ping Lei Chui, Chong Chin Che, Li Xiao, Qin Zhang

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引用次数: 0

Abstract

Background: Advance care planning (ACP) is pivotal in mitigating end-of-life suffering and ensuring healthcare congruence with the values of older adults and dignity in death. Despite its paramount importance, the current readiness for ACP among community-dwelling older adults and the intricate influencing factors have yet to be explored.

Objective: To review the literature focusing on ACP readiness among community-dwelling older adults and the influencing factors.

Methods: A scoping review conducted using the Arksey and O'Malley (2005) framework. Electronic databases (PubMed, CINAHL, Cochrane, Web of Science, PsycINFO), as well as grey literature databases (OpenGrey and GreyLit.org) were searched to identify studies published in English between January 2012 and March 2023.

Results: 19 studies were selected, comprising 3 qualitative, 13 quantitative, 2 mixed-methods, and 1 review article. The study evaluated the readiness of older adults for ACP by examining their knowledge and attitudes. It categorizes influencing factors into intrinsic and extrinsic levels. This review revealed that the knowledge about ACP among older adults across all settings was limited. However, they had positive attitudes toward it. In addition, intrinsic factors including sociodemographic characteristics, psychological factors, and family relationships, along with extrinsic factors including health care professionals' attitudes and experience, as well as policies and laws, influenced the ACP readiness among older adults.

Conclusions: This study established the groundwork for future ACP intervention trials, providing a theoretical framework to guide their design and implementation. operationalization.

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居住在社区的老年人预先护理计划的准备情况及其影响因素：范围界定综述。

背景：预先护理计划（ACP）对于减轻临终痛苦、确保医疗保健符合老年人的价值观和死亡尊严至关重要。尽管它极为重要，但目前社区老年人对 ACP 的准备程度以及错综复杂的影响因素仍有待探讨：回顾有关社区老年人 ACP 准备情况及其影响因素的文献：方法：采用 Arksey 和 O'Malley（2005 年）的框架进行范围界定综述。检索了电子数据库（PubMed、CINAHL、Cochrane、Web of Science、PsycINFO）以及灰色文献数据库（OpenGrey 和 GreyLit.org），以确定 2012 年 1 月至 2023 年 3 月间发表的英文研究：结果：共筛选出 19 项研究，包括 3 项定性研究、13 项定量研究、2 项混合方法研究和 1 篇综述文章。该研究通过考察老年人的知识和态度，评估了老年人对 ACP 的准备情况。它将影响因素分为内在和外在两个层面。该综述显示，在所有环境中，老年人对 ACP 的了解都很有限。不过，他们对此持积极态度。此外，包括社会人口特征、心理因素和家庭关系在内的内在因素，以及包括医护人员的态度和经验、政策和法律在内的外在因素，都影响着老年人的 ACP 准备程度：本研究为未来的 ACP 干预试验奠定了基础，提供了指导其设计和实施的理论框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

9.70%

发文量

201

审稿时长

21 weeks

期刊介绍： BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.