Readiness for advance care planning and related factors in the general population: a cross sectional study in Iran.

Autor: Askari A; Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran., Roshan HM; Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran., Abbaszadeh N; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran., Salesi M; Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran., Hosseini SM; Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran., Golmohammadi M; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran., Barasteh S; Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran. s.barasteh@gmail.com.; Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. s.barasteh@gmail.com., Nademi O; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran., Mashayekh R; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran., Sadeghi MH; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Jazyk: angličtina
Zdroj: BMC palliative care [BMC Palliat Care] 2024 Jul 09; Vol. 23 (1), pp. 167. Date of Electronic Publication: 2024 Jul 09.
DOI: 10.1186/s12904-024-01496-2
Abstrakt: Context: Advance Care Planning (ACP), as a process for expressing and recording patients' preferences about end-of-life care, has received increasing attention in recent years. However, implementing ACP has been challenging in Iran.
Objectives: To assess the readiness for advance care planning and related factors in the general population of Iran.
Methods: This cross-sectional study was conducted on the general population of Iran in 2022. The data was collected using demographic information questionnaire and The RACP Scale. The purpose and methodology of the research was explained to all participants, and upon their agreement an informed consent was obtained. Participants were invited to fill out the questionnaires wherever is more convenient for them, either alone or if needed, with the help of the researcher to protect their privacy. Chi-square, fisher exact test and multiple logistic Regression model were used to assess the effective factors on the RACP. The data were analyzed by SPSS software version 26.
Results: A total of 641 people with an average age of 36.85 ± 12.05 years participated in this study. Of those, 377 (58.8%) had high RACP. The logistics model showed an association between the chance of readiness for receiving ACP with participants' education level, such that the chance of readiness in those with Master's or Ph.D. degrees was three times higher than those with a diploma (p = 0.00, OR:3.178(1.672, 6.043)). However, the chances of readiness in those with bachelor's degrees was not significantly different from those with a diploma (p = 0.936, OR: 0.984 (0.654, 1.479)). Moreover, the chance of readiness was 1.5 higher in participants over 40 years of age compared with participants under the age of 40 (P = 0.01, OR: 1.571(1.10, 2.23)).
Conclusion: According to the findings of this study, it can be concluded that there is a relatively RACP among people in Iranian society. The readiness of individuals for ACP increases by their age and education level. Therefore, by holding appropriate training intervention, we can increase the readiness of the public for ACP to improve their end-of-life outcome.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje