Predictors for the intentions of signing advance directives among dialysis patients: A quantitative study

Contemp Nurse. 2020 Apr-Jun;56(3):242-254. doi: 10.1080/10376178.2020.1806091. Epub 2020 Aug 15.

Abstract

Background: Ineffective medical treatment could be avoided if patients had completed advance directives documents in advance. Aims: This study aimed to explore the predictors for the intentions of signing advance directives among dialysis patients. Methods: This cross-sectional study recruited 209 dialysis patients by using structured questionnaires. The Statistical Package for the Social Sciences (Version 17) (SPSS/IBM Inc., Chicago, IL, USA) was used for data analysis. Results: The predictors for the intention of signing the advance directives documents were having information on palliative care, the participants' knowing about the advanced directives documents, and their having more knowledge of advance care plans. Conclusions: Health care workers may strengthen the patient's knowledge of an "advance care plan" by health education during the dialysis treatment and provide information on websites for the patients. Impact statement: Hospital managers should train their staff to provide health teachings for an advance care plan.

Keywords: advance care plan; advance directives; dialysis patient; patient autonomy.

MeSH terms

  • Adolescent
  • Adult
  • Advance Care Planning / standards*
  • Advance Directives / psychology*
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Palliative Care / psychology*
  • Palliative Care / standards*
  • Patient Education as Topic / standards*
  • Practice Guidelines as Topic*
  • Renal Dialysis / psychology*
  • Surveys and Questionnaires
  • Taiwan
  • Young Adult