TY - JOUR
T1 - Advance care planning for patients and their relatives
AU - Skorstengaard, Marianne H
AU - Brogaard, Trine
AU - Jensen, Anders Bonde
AU - Andreassen, Pernille
AU - Bendstrup, Elisabeth
AU - Løkke, Anders
AU - Aagaard, Susanne
AU - Wiggers, Henrik
AU - Johnsen, Anna Thit
AU - Neergaard, Mette Asbjoern
PY - 2019/3/2
Y1 - 2019/3/2
N2 - 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.
AB - 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.
KW - Advance Care Planning
KW - Aged
KW - Chronic Disease/nursing
KW - Decision Making
KW - Denmark
KW - Family
KW - Female
KW - Heart Diseases/nursing
KW - Hospice Care
KW - Hospice and Palliative Care Nursing
KW - Humans
KW - Lung Diseases/nursing
KW - Male
KW - Neoplasms/nursing
KW - Quality of Life
KW - Surveys and Questionnaires
U2 - 10.12968/ijpn.2019.25.3.112
DO - 10.12968/ijpn.2019.25.3.112
M3 - Journal article
C2 - 30892997
SN - 1357-6321
VL - 25
SP - 112
EP - 127
JO - International Journal of Palliative Nursing
JF - International Journal of Palliative Nursing
IS - 3
ER -