Readiness for advance care planning and health status of community-dwelling older patients with chronic diseases:the influencing factors
Objective To investigate the levels of health status and readiness for advance care planning(ACP)in community-dwelling older patients with chronic diseases,to analyze the influencing factors,and to provide reference for targeted intervention.Methods A convenience sample of 196 community-dwelling older patients with chronic diseases from Taiyuan and Jinzhong were surveyed using a general information questionnaire,the ACP Readiness scale,and the EuroQol five-dimensional questionnaire(EQ-5D).Re-sults The median(P25,P75)EQ-5D score was 75(66,85)and the total ACP readiness score was 75.21±13.87.Multiple linear re-gression analysis showed that mobility,medical insurance payment ways,average monthly household income,numberof children,years of illness,usual residence,marital status,and hospitalization experience were the factors influencing the readiness for ACP(all P＜0.05).Conclusion The health status and ACP readiness of community-dwelling older patients with chronic diseases are at moderately high levels,and ACP readiness is affected by a variety of factors.Healthcare professionals should take targeted mea-sures to improve their health status and ACP readiness.
older peoplechronic diseasescommunityhealth statusadvance care planningreadinessinfluencing fac-torchronic disease care
NETL
NSTL
万方数据
