Factors associated with the intention to engage in care planning among persons with mild cognitive impairment and dementia

Hsiu-Li Huang; Yea-Ing Lotus Shyu; Li-Chueh Weng; Huei-Ling Huang; Wei-Ru Lu; Chien-Liang Liu

doi:10.1016/j.gerinurse.2023.01.018

Factors associated with the intention to engage in care planning among persons with mild cognitive impairment and dementia

Geriatr Nurs. 2023 Mar-Apr:50:143-151. doi: 10.1016/j.gerinurse.2023.01.018. Epub 2023 Feb 11.

Authors

Hsiu-Li Huang¹, Yea-Ing Lotus Shyu², Li-Chueh Weng³, Huei-Ling Huang⁴, Wei-Ru Lu⁵, Chien-Liang Liu⁶

Affiliations

¹ Professor, Department of Long-Term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, No.365, Ming-te Road, Peitou District, Taipei 112303, Taiwan. Electronic address: hsiuli@ntunhs.edu.tw.
² Professor, School of Nursing, College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan; Professor, Healthy Aging Research Center, Chang Gung University, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan; Research Fellow, Dementia Center, Department of Neurology, Chang Gung Memorial Hospital, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan.
³ Professor, School of Nursing, College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan; Research Fellow, Chang Gung Memorial Hospital, No.259, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan.
⁴ Associate professor, Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan District, Taoyuan 33303, Taiwan.
⁵ RN, Sijhih Cathay General Hospital, No. 2, Ln. 59, Jiancheng Rd., Xizhi District, New Taipei 221, Taiwan.
⁶ Director, Taipei City Hospital, Dementia Center, No. 33, Sec. 2, Zhonghua Rd., Zhongzheng District, Taipei 100, Taiwan.

PMID: 36780712
DOI: 10.1016/j.gerinurse.2023.01.018

Abstract

This study examined factors associated with the intention to engage in advance care planning among persons with cognitive impairment. This cross-sectional study recruited 116 persons with cognitive impairment by convenience sampling from two teaching hospitals in Northern Taiwan from November 1, 2018, to December 31, 2020. Fewer than 50% of the participants intended to engage in advance care planning, and less than 10% signed the living will for hospice and palliative care. Multivariate linear regression determined factors influencing advance care planning intention included education level, a proxy signed do-not-resuscitate document, belief that family members would provide a signed do-not-resuscitate at their end-of-life, and necessity of explaining future care in advance. It is recommended to popularize advance care planning education and ensure the rights of persons with cognitive impairment to enable them to fully participate in their own care plans through family-centered advance care planning.

Keywords: Advance care planning; Advance medical directive; Cognitive impairment; End-of-life; Living will.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Advance Care Planning*
Cognitive Dysfunction*
Cross-Sectional Studies
Dementia* / psychology
Humans
Intention