Knowledge of and Attitudes Toward Advance Directives in Patients With Advanced Heart Failure

Mo Ying Liao, Jung Jae Lee, Robert Smith, Chia Chin Lin

研究成果: 雜誌貢獻文章

摘要

© Copyright 2019 by The Hospice and Palliative Nurses Association. All rights reserved. The aim of this research was to describe knowledge and attitudes regarding advance directives (ADs) in patients with advanced heart failure and identify factors influencing such knowledge and attitudes. We conducted a cross-sectional survey in 75 patients with advanced heart failure at a cardiovascular outpatient clinic and an in-patient ward. Data were collected by a validated measure of knowledge and attitudes regarding ADs. We compared knowledge and attitudes regarding ADs across patient age, sex, socioeconomic status, care received, and disease status using both univariate and stepwise regression models. Only four of the 75 participants (5.3%) had signed ADs. As a result of stepwise regression analysis, positive attitudes toward ADs were higher in those who were not religious (β = 3.10; 95% confidence interval [CI], 0.26-5.95), and patients who had a poorer left ventricular ejection fraction had more positive attitudes (β = 7.03; 95% CI, 3.32-10.73) toward ADs. Knowledge of ADs was higher in subjects with college level education (β = 0.82; 95% CI, 0.13-1.50) and in subjects with heart failure for greater than 1 year of duration (β = 2.04; 95% CI, 0.59-3.50). The use of ADs is low in patients with advanced heart failure, despite evidence regarding its benefits.
原文英語
頁(從 - 到)80-89
頁數10
期刊Journal of Hospice and Palliative Nursing
21
發行號1
DOIs
出版狀態已發佈 - 二月 1 2019

指紋

Advance Directives
Heart Failure
Confidence Intervals
Ambulatory Care Facilities
Social Class
Stroke Volume
Cross-Sectional Studies
Regression Analysis
Education

ASJC Scopus subject areas

  • Community and Home Care
  • Advanced and Specialised Nursing

引用此文

Knowledge of and Attitudes Toward Advance Directives in Patients With Advanced Heart Failure. / Liao, Mo Ying; Lee, Jung Jae; Smith, Robert; Lin, Chia Chin.

於: Journal of Hospice and Palliative Nursing, 卷 21, 編號 1, 01.02.2019, p. 80-89.

研究成果: 雜誌貢獻文章

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abstract = "{\circledC} Copyright 2019 by The Hospice and Palliative Nurses Association. All rights reserved. The aim of this research was to describe knowledge and attitudes regarding advance directives (ADs) in patients with advanced heart failure and identify factors influencing such knowledge and attitudes. We conducted a cross-sectional survey in 75 patients with advanced heart failure at a cardiovascular outpatient clinic and an in-patient ward. Data were collected by a validated measure of knowledge and attitudes regarding ADs. We compared knowledge and attitudes regarding ADs across patient age, sex, socioeconomic status, care received, and disease status using both univariate and stepwise regression models. Only four of the 75 participants (5.3{\%}) had signed ADs. As a result of stepwise regression analysis, positive attitudes toward ADs were higher in those who were not religious (β = 3.10; 95{\%} confidence interval [CI], 0.26-5.95), and patients who had a poorer left ventricular ejection fraction had more positive attitudes (β = 7.03; 95{\%} CI, 3.32-10.73) toward ADs. Knowledge of ADs was higher in subjects with college level education (β = 0.82; 95{\%} CI, 0.13-1.50) and in subjects with heart failure for greater than 1 year of duration (β = 2.04; 95{\%} CI, 0.59-3.50). The use of ADs is low in patients with advanced heart failure, despite evidence regarding its benefits.",
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