{"title":"Advance Care Planning in Patients With Stroke: A Scoping Review.","authors":"Mengfei Yang, Ning Li, Yongxia Mei","doi":"10.1111/nhs.70085","DOIUrl":null,"url":null,"abstract":"<p><p>This scoping review sought to provide an overview and characterization of the present state and experimental studies related to advance care planning (ACP) in patients with stroke. A comprehensive literature search was performed across four databases-PubMed, CINAHL Plus, MEDLINE, and Web of Science-for articles published through January 31, 2024. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) statement was used to report this scoping review. The main search terms were \"advance care planning\" and \"stroke\" and the narrative synthesis method was used. Eleven studies met the inclusion criteria. Six studies reported ACP discussion and/or advance directive documentation rates. There was an intervention study and a study investigated a decision support tool which was specifically designed for patients with stroke. Studies on ACP in patients with stroke are limited and heterogeneous. Age and stroke-related knowledge were the two main factors associated with ACP completion rates. There are multiple obstacles in proxy decision-making and ACP discussion of patients with stroke.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 2","pages":"e70085"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing & Health Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nhs.70085","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
This scoping review sought to provide an overview and characterization of the present state and experimental studies related to advance care planning (ACP) in patients with stroke. A comprehensive literature search was performed across four databases-PubMed, CINAHL Plus, MEDLINE, and Web of Science-for articles published through January 31, 2024. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) statement was used to report this scoping review. The main search terms were "advance care planning" and "stroke" and the narrative synthesis method was used. Eleven studies met the inclusion criteria. Six studies reported ACP discussion and/or advance directive documentation rates. There was an intervention study and a study investigated a decision support tool which was specifically designed for patients with stroke. Studies on ACP in patients with stroke are limited and heterogeneous. Age and stroke-related knowledge were the two main factors associated with ACP completion rates. There are multiple obstacles in proxy decision-making and ACP discussion of patients with stroke.
本综述旨在概述和描述与脑卒中患者提前护理计划（ACP）相关的现状和实验研究。在pubmed、CINAHL Plus、MEDLINE和Web of science四个数据库中对2024年1月31日之前发表的文章进行了全面的文献检索。系统评价和荟萃分析范围评价首选报告项目（PRISMA-ScR）声明用于报告该范围评价。主要检索词为“提前护理计划”和“中风”，采用叙事综合法。11项研究符合纳入标准。六项研究报告了ACP讨论和/或预先指示文件率。有一项干预研究一项研究调查了一种决策支持工具是专门为中风患者设计的。脑卒中患者ACP的研究是有限的和异质性的。年龄和卒中相关知识是影响ACP完成率的两个主要因素。卒中患者代理决策和ACP讨论存在诸多障碍。
期刊介绍：
NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
