{"title":"晚期转移性癌症患者临终准备和预先护理计划讨论的质量。","authors":"Poonam Goswami","doi":"10.1188/25.ONF.70-80","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To describe end-of-life (EOL) preparedness, the quality of advance care planning (ACP) discussions, and their effect on EOL preparedness in patients with metastatic cancer enrolled in a phase 1/2 clinical trial.</p><p><strong>Sample & setting: </strong>81 English-speaking adults aged 18 years or older with advanced metastatic cancer who were enrolled in a phase 1/2 clinical trial and hospitalized at a comprehensive cancer center in South Texas.</p><p><strong>Methods & variables: </strong>A nonexperimental descriptive study was conducted in two parts in 2022. Data were collected using the Quality of Communication Questionnaire and the preparation for EOL subscale of the Quality of Life at the EOL-Cancer questionnaire.</p><p><strong>Results: </strong>About half of the sample (n = 40) reported being well prepared for EOL and 41 reported being not well prepared for EOL. Patients reported being moderately to completely worried about being a burden to family (n = 36), their family's ability to cope with the future (n = 42), and frightened by thoughts of dying (n = 27). Quality of ACP communication was significantly correlated with EOL preparedness (r = 0.38, p < 0.001).</p><p><strong>Implications for nursing: </strong>As integral parts of the healthcare team, nurses can communicate with patients with advanced cancer about ACP and initiate EOL discussions, enhance patients' awareness of their EOL stage, and encourage them to plan their EOL care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"70-80"},"PeriodicalIF":1.4000,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056859/pdf/","citationCount":"0","resultStr":"{\"title\":\"End-of-Life Preparedness and Quality of Advance Care Planning Discussions in Patients With Advanced Metastatic Cancer.\",\"authors\":\"Poonam Goswami\",\"doi\":\"10.1188/25.ONF.70-80\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To describe end-of-life (EOL) preparedness, the quality of advance care planning (ACP) discussions, and their effect on EOL preparedness in patients with metastatic cancer enrolled in a phase 1/2 clinical trial.</p><p><strong>Sample & setting: </strong>81 English-speaking adults aged 18 years or older with advanced metastatic cancer who were enrolled in a phase 1/2 clinical trial and hospitalized at a comprehensive cancer center in South Texas.</p><p><strong>Methods & variables: </strong>A nonexperimental descriptive study was conducted in two parts in 2022. Data were collected using the Quality of Communication Questionnaire and the preparation for EOL subscale of the Quality of Life at the EOL-Cancer questionnaire.</p><p><strong>Results: </strong>About half of the sample (n = 40) reported being well prepared for EOL and 41 reported being not well prepared for EOL. Patients reported being moderately to completely worried about being a burden to family (n = 36), their family's ability to cope with the future (n = 42), and frightened by thoughts of dying (n = 27). Quality of ACP communication was significantly correlated with EOL preparedness (r = 0.38, p < 0.001).</p><p><strong>Implications for nursing: </strong>As integral parts of the healthcare team, nurses can communicate with patients with advanced cancer about ACP and initiate EOL discussions, enhance patients' awareness of their EOL stage, and encourage them to plan their EOL care.</p>\",\"PeriodicalId\":19549,\"journal\":{\"name\":\"Oncology nursing forum\",\"volume\":\"52 1\",\"pages\":\"70-80\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-12-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056859/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oncology nursing forum\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1188/25.ONF.70-80\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oncology nursing forum","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1188/25.ONF.70-80","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
End-of-Life Preparedness and Quality of Advance Care Planning Discussions in Patients With Advanced Metastatic Cancer.
Objectives: To describe end-of-life (EOL) preparedness, the quality of advance care planning (ACP) discussions, and their effect on EOL preparedness in patients with metastatic cancer enrolled in a phase 1/2 clinical trial.
Sample & setting: 81 English-speaking adults aged 18 years or older with advanced metastatic cancer who were enrolled in a phase 1/2 clinical trial and hospitalized at a comprehensive cancer center in South Texas.
Methods & variables: A nonexperimental descriptive study was conducted in two parts in 2022. Data were collected using the Quality of Communication Questionnaire and the preparation for EOL subscale of the Quality of Life at the EOL-Cancer questionnaire.
Results: About half of the sample (n = 40) reported being well prepared for EOL and 41 reported being not well prepared for EOL. Patients reported being moderately to completely worried about being a burden to family (n = 36), their family's ability to cope with the future (n = 42), and frightened by thoughts of dying (n = 27). Quality of ACP communication was significantly correlated with EOL preparedness (r = 0.38, p < 0.001).
Implications for nursing: As integral parts of the healthcare team, nurses can communicate with patients with advanced cancer about ACP and initiate EOL discussions, enhance patients' awareness of their EOL stage, and encourage them to plan their EOL care.
期刊介绍：
The mission of the Oncology Nursing Forum, an official publication of ONS, is to
Convey research information related to practice, technology, education, and leadership.
Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care.
Stimulate discussion of critical issues relevant to oncology nursing.
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