心力衰竭患者预立医疗照护计划接受度现状及其影响因素分析

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目的:了解心力衰竭患者对预立医疗照护计划(ACP)的接受度现状,并分析其影响因素。方法:采用一般资料调查问卷、ACP接受程度调查问卷对208例心力衰竭患者进行问卷调查,并对结果进行分析。结果:心力衰竭患者的ACP接受度总分为(44.26 ± 11.73)分,感受维度得分为(13.67 ± 5.72)分,态度维度得分为(30.59 ± 6.33)分,111例占53.4%的患者愿意接受有关ACP的谈话。回归分析结果显示文化程度、美国纽约心脏病学会(NYHA)心力衰竭程度分级、与医护人员的沟通状况及是否接受过生命维持治疗是心力衰竭患者ACP接受程度的重要影响因素。结论:心力衰竭患者的ACP接受程度较高。在临床工作中,应加强对文化程度较低、NYHA分级较低及并未接触过生命维持治疗的患者有关ACP的科普力度,并增强与患者的日常沟通为后续进行ACP的相关沟通做好准备。“,”Objective:To investigate the acceptance of advance care planning and its influencing factors in heart failure patients.Methods:A total of 208 patients with heart failure were surveyed by general data questionnaires and advance care planning acceptance questionnaires.Results:The total score of advance care planning acceptance of heart failure patients was (44.26 ± 11.73), the score of feeling dimension was (13.67 ± 5.72), the score of attitude dimension was (30.59 ± 6.33). 53.4%(111/208) of patients were willing to accept the talking about advance care planning. Regression analysis results showed that education level, New York Heart Association (NYHA) classification, communication status with medical staff and whether they had received life-sustaining treatment were important factors influencing of the acceptance of advance care planning in patients with heart failure.Conclusion:Patients with heart failure had higher acceptance of advance care planning. In clinical work, it is necessary to strengthen the scientific popularization of advance care planning in patients with low education level, low NYHA grade and no exposure to life-sustaining treatment. And strengthen the daily communication with patients to prepare for the follow-up advance care planning related communication.
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