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- Title
Advance care planning for patients and their relatives.
- Authors
Bendstrup, Elisabeth; Løkke, Anders; Aagaard, Susanne; Wiggers, Henrik; Johnsen, Anna Thit; Neergaard, Mette Asbjoern; Skorstengaard, Marianne H; Brogaard, Trine; Jensen, Anders Bonde; Andreassen, Pernille
- Abstract
Background: Advance care planning (ACP) has been suggested to improve the quality of life (QoL) and mental wellbeing in severely ill patients and their relatives. Aim: To investigate the effects of ACP among patients with lung, heart and cancer diseases with an estimated life-span of up to 12 months. Methods: Patients and relatives were randomised into two groups: one receiving usual care and one receiving ACP and usual care. Themes from the ACP discussion were documented in patients' electronic medical file. Participants completed self-reported questionnaires four to five weeks after randomisation. Findings: In total, 141 patients and 127 relatives participated. No significant differences were found according to outcomes. However, patients with non-malignant diseases had the highest level of anxiety and depression; these patients seemed to benefit the most from ACP, though not showing statistically significant results. Conclusion: No significant effects of ACP among patients with lung, heart, and cancer diseases and their relatives regarding HRQoL, anxiety, depression, and satisfaction with healthcare were found.
- Subjects
DENMARK; ANALYSIS of variance; ANXIETY; CANCER patients; CHI-squared test; CONFIDENCE intervals; MENTAL depression; HEART diseases; LUNG diseases; EVALUATION of medical care; PALLIATIVE treatment; PATIENT satisfaction; QUALITY of life; QUESTIONNAIRES; STATISTICAL sampling; PSYCHOLOGY of the terminally ill; ADVANCE directives (Medical care); RANDOMIZED controlled trials; DATA analysis software; EXTENDED families; DESCRIPTIVE statistics; MANN Whitney U Test; PSYCHOLOGY
- Publication
International Journal of Palliative Nursing, 2019, Vol 25, Issue 3, p112
- ISSN
1357-6321
- Publication type
Article
- DOI
10.12968/ijpn.2019.25.3.112