Literature DB >> 30661022

Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones.

Carmen H M Houben1, Martijn A Spruit1,2, Hans Luyten3, Herman-Jan Pennings4, Vivian E M van den Boogaart5, Jacques P H M Creemers6, Geertjan Wesseling7, Emiel F M Wouters1,7, Daisy J A Janssen1,8.   

Abstract

RATIONALE: Advance care planning (ACP) is uncommon in patients with chronic obstructive pulmonary disease (COPD).
OBJECTIVES: To assess whether a nurse-led ACP-intervention can improve quality of patient-physician end-of-life care communication in patients with COPD. Furthermore, the influence of an ACP-intervention on symptoms of anxiety and depression in patients and loved ones was studied. Finally, quality of death and dying was assessed in patients who died during 2-year follow-up.
METHODS: A multicentre cluster randomised-controlled trial in patients with advanced COPD was performed. The intervention group received an 1.5 hours structured nurse-led ACP-session. Outcomes were: quality of patient-physician end-of-life care communication, prevalence of ACP-discussions 6 months after baseline, symptoms of anxiety and depression in patients and loved ones and quality of death and dying.
RESULTS: 165 patients were enrolled (89 intervention; 76 control). The improvement of quality of patient-physician end-of-life care communication was significantly higher in the intervention group compared with the control group (p<0.001). The ACP-intervention was significantly associated with the occurrence of an ACP-discussion with physicians within 6 months (p=0.003). At follow-up, symptoms of anxiety were significantly lower in loved ones in the intervention group compared with the control group (p=0.02). Symptoms of anxiety in patients and symptoms of depression in both patients and loved ones were comparable at follow-up (p>0.05). The quality of death and dying was comparable between both groups (p=0.17).
CONCLUSION: One nurse-led ACP-intervention session improves patient-physician end-of-life care communication without causing psychosocial distress in both patients and loved ones. © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  palliative care

Mesh：

Year:  2019        PMID： 30661022     DOI： 10.1136/thoraxjnl-2018-211943

Source DB:  PubMed          Journal:  Thorax        ISSN： 0040-6376            Impact factor:   9.139


  13 in total

Review 1.  Interventions for interpersonal communication about end of life care between health practitioners and affected people.

Authors:  Rebecca E Ryan; Michael Connolly; Natalie K Bradford; Simon Henderson; Anthony Herbert; Lina Schonfeld; Jeanine Young; Josephine I Bothroyd; Amanda Henderson
Journal:  Cochrane Database Syst Rev       Date:  2022-07-08

2.  The perspectives of family caregivers of people with Alzheimer´s disease regarding advance care planning in China: a qualitative research.

Authors:  Linghui Chen; Guo Yin; Siting Lin; Yuanxia Li
Journal:  BMC Psychiatry       Date:  2022-07-13       Impact factor: 4.144

Review 3.  The Role of Palliative Care in COPD.

Authors:  Anand S Iyer; Donald R Sullivan; Kathleen O Lindell; Lynn F Reinke
Journal:  Chest       Date:  2021-11-03       Impact factor: 10.262

Review 4.  Self-management interventions for people with chronic obstructive pulmonary disease.

Authors:  Jade Schrijver; Anke Lenferink; Marjolein Brusse-Keizer; Marlies Zwerink; Paul Dlpm van der Valk; Job van der Palen; Tanja W Effing
Journal:  Cochrane Database Syst Rev       Date:  2022-01-10

5.  Nurse-Led Palliative Care Clinical Trial Improves Knowledge and Preparedness in Caregivers of Patients with Idiopathic Pulmonary Fibrosis.

Authors:  Kathleen Oare Lindell; Sara Jo Klein; Melinda S Veatch; Kevin F Gibson; Daniel J Kass; Mehdi Nouraie; Margaret Q Rosenzweig
Journal:  Ann Am Thorac Soc       Date:  2021-11

Review 6.  ERS Presidential Summit 2018: multimorbidities and the ageing population.

Authors:  Mina Gaga; Pippa Powell; Marta Almagro; Ioanna Tsiligianni; Stelios Loukides; Josep Roca; Matthew Cullen; Anita K Simonds; Brian Ward; Isabel Saraiva; Thierry Troosters; Carlos Robalo Cordeiro
Journal:  ERJ Open Res       Date:  2019-09-25

7.  Preventing unwanted situations and gaining trust: a qualitative study of older people and families' experiences with advance care planning in the daily practice of primary care.

Authors:  Jolien J Glaudemans; Dick L Willems; Jan Wind; Bregje D Onwuteaka Philipsen
Journal:  Fam Pract       Date:  2020-09-05       Impact factor: 2.267

Review 8.  Deconstructing the Complexities of Advance Care Planning Outcomes: What Do We Know and Where Do We Go? A Scoping Review.

Authors:  Ryan D McMahan; Ismael Tellez; Rebecca L Sudore
Journal:  J Am Geriatr Soc       Date:  2020-09-07       Impact factor: 5.562

Review 9.  [Ethics of resuscitation and end of life decisions].

Authors:  Spyros D Mentzelopoulos; Keith Couper; Patrick Van de Voorde; Patrick Druwé; Marieke Blom; Gavin D Perkins; Ileana Lulic; Jana Djakow; Violetta Raffay; Gisela Lilja; Leo Bossaert
Journal:  Notf Rett Med       Date:  2021-06-02       Impact factor: 0.826

10.  English and Spanish-speaking vulnerable older adults report many barriers to advance care planning.

Authors:  Linda H Phung; Deborah E Barnes; Aiesha M Volow; Brookelle H Li; Nikita R Shirsat; Rebecca L Sudore
Journal:  J Am Geriatr Soc       Date:  2021-06-01       Impact factor: 7.538
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.