Effects of Brief Nurse Advance Care Planning Intervention with Visual Materials on Goal-of-Care Preference of Japanese Elderly Patients with Chronic Disease: A Pilot Randomized-Controlled Trial
Effects of Brief Nurse Advance Care Planning Intervention with Visual Materials on Goal-of-Care Preference of Japanese Elderly Patients with Chronic Disease: A Pilot Randomized-Controlled Trial
复制标题
DOI：
10.1089/jpm.2019.0512
复制
发表时间：
2020-04-15
影响因子：
2.8
通讯作者：
Morita, Tatsuya
中科院分区：
文献类型：
--
作者：
Kizawa, Yoshiyuki;Okada, Hiroko;Morita, Tatsuya
目的：预先护理计划是优质姑息治疗的重要组成部分。在亚洲国家，很少有随机临床试验报告。这项初步随机对照试验研究了视觉材料的简短护士干预对护理目标偏好，心肺复苏术（CPR）偏好和指定医疗保健代理人的影响。方法：这项随机临床试验于2018年1月至2月在日本老年慢性病患者中进行。患者被随机分配到对照组（使用口头描述进行简短的护士干预）或干预组（使用视觉材料）。主要终点是护理目标偏好，次要结局包括以下内容：（1）CPR偏好，（2）指定医疗保健代理人的存在，（3）CPR知识，（4）提前护理计划的准备。在基线和完成干预后获得结果指标。结果：共有220例患者入组（干预组117例，对照组103例）。所有患者均完成干预后测量。两组在任何结果指标上都没有显著差异，
Purpose: Advance care planning is an important component of quality palliative care. In Asian countries, few randomized clinical trials have been reported. This pilot randomized-controlled trial examined the effects of brief nurse intervention with visual materials on the goal-of-care preference, cardiopulmonary resuscitation (CPR) preference, and designation of a health care proxy.Methods: This randomized clinical trial was performed from January to February 2018 on elderly Japanese patients with chronic disease. The patients were randomly assigned to a control group (brief nurse intervention using verbal descriptions) or intervention group (using visual materials). The primary endpoint was goal-of-care preference, and secondary outcomes included the following: (1) CPR preference, (2) presence of a designated health care proxy, (3) knowledge of CPR, and (4) readiness for advance care planning. Outcome measures were obtained at baseline and just after completion of the intervention.Results: A total of 220 patients were enrolled (117 in the intervention group and 103 in the control group). All patients completed post-intervention measurement. There was no significant difference between the groups in any of the outcome measures, while