Effects of Advance Care Planning on End-of-Life Indicators for Nursing Home Residents—An Experimental Study with a Retrospective Chart Review

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-03-27 DOI:10.3390/geriatrics9020042

Yu-Tai Lo, Jin-Jy Wang, Yi-Ching Yang, Chiu-Yen Yu, Chia-Ming Chang, Ya-Ping Yang

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Abstract

Advance care planning (ACP) has the potential to improve the outcomes of end-of-life care for residents in nursing homes. The aim of this study was to determine whether an ACP program was beneficial for nursing home residents by assessing end-of-life indicators. An experimental study with a retrospective chart review was conducted. In total, 37 residents in the intervention group participated in an institutional advance care planning program for 1 year, and their chart data over 1 year were collected following the completion of the program; 33 residents in the control group had died within 1 year before the start date of program, and their chart data were reviewed retrospectively. Chi-square and t tests were used to examine four indicators of the quality of end-of-life care. Compared with the control group, the intervention group had a higher proportion of do-not-resuscitate directives, hospice care before death, and deaths in the nursing home, and fewer hospitalizations and deaths in an emergency department. ACP programs may improve the quality of end-of-life care for nursing home residents in Taiwan. Further research across different long-term care facilities is warranted.

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预先护理计划对疗养院居民临终指标的影响--一项回顾病历的实验研究

预先护理计划（ACP）有可能改善疗养院居民的临终护理效果。本研究旨在通过评估临终指标来确定 ACP 计划是否对疗养院居民有益。本研究通过回顾性病历审查进行了一项实验研究。干预组共有 37 名住院者参加了为期一年的机构预先护理计划，并在计划结束后收集了他们一年的病历资料；对照组有 33 名住院者在计划开始前一年内死亡，并对他们的病历资料进行了回顾性分析。对临终关怀质量的四项指标进行了卡方检验和 t 检验。与对照组相比，干预组的拒绝复苏指令、临终关怀和在疗养院死亡的比例更高，住院和在急诊科死亡的人数更少。ACP项目可以改善台湾疗养院居民的临终关怀质量。有必要对不同的长期护理机构进行进一步研究。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.