Yasuko Takada1, Yasuhiro Hamatani2, Yukie Kawano1, Yuta Anchi2, Michikazu Nakai3, Chisato Izumi2, Satoshi Yasuda2, Hisao Ogawa2, Yasuo Sugano2, Toshihisa Anzai2, Tatsuhiro Shibata4, Atsushi Suzuki5, Mitsunori Nishikawa6, Hiroto Ito7, Masashi Kato8, Tsuyoshi Shiga9, Yoshihiro Fukumoto4. 1. Department of Nursing. 2. Department of Cardiovascular Medicine, Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Hokkaido. 3. Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information. 4. Division of Cardiovascular Medicine, Kurume University School of Medicine, Fukuoka. 5. Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan. 6. Department of Palliative Care, National Center for Geriatrics and Gerontology, Aichi. 7. National Center of Neurology and Psychiatry, Tokyo, Japan, Japan Organization of Occupational Health and Safety, Kanagawa. 8. Division of Medical Support and Partnership, Center for Cancer Control and Information Services, National Cancer Center, Tokyo. 9. Department of Cardiology, Tokyo Women's Medical University, Tokyo.
Abstract
BACKGROUND: Advance care planning (ACP) is recommended as part of the management of patients with heart failure (HF). AIMS: To develop and validate ACP support tools for patients with HF. METHODS: An ACP support tool was developed based on a systematic literature review. A multi-center, prospective before and after study was conducted to evaluate the usefulness of the support tool. This study included 21 patients with HF, 11 patients formed the control group and 10 patients were part of the intervention group who received ACP from medical staff using the ACP support tools developed for this study. Participants of the study were surveyed about their experience of ACP using a 6-point Likert scale. FINDINGS: All of the healthcare professionals (n=9) involved in the study found the ACP tool useful and about 90% of patients considered the support tool useful. The score for 'the patient did not feel anxious about the future after receiving ACP discussion' was significantly higher (3.5 [3.0, 4.0] vs 2.0 [1.0, 3.0]; P=0.04) in the intervention group that used the ACP tool. CONCLUSION: ACP support tools are useful to manage patients with HF and could enable effective ACP without increasing patient anxiety.
BACKGROUND: Advance care planning (ACP) is recommended as part of the management of patients with heart failure (HF). AIMS: To develop and validate ACP support tools for patients with HF. METHODS: An ACP support tool was developed based on a systematic literature review. A multi-center, prospective before and after study was conducted to evaluate the usefulness of the support tool. This study included 21 patients with HF, 11 patients formed the control group and 10 patients were part of the intervention group who received ACP from medical staff using the ACP support tools developed for this study. Participants of the study were surveyed about their experience of ACP using a 6-point Likert scale. FINDINGS: All of the healthcare professionals (n=9) involved in the study found the ACP tool useful and about 90% of patients considered the support tool useful. The score for 'the patient did not feel anxious about the future after receiving ACP discussion' was significantly higher (3.5 [3.0, 4.0] vs 2.0 [1.0, 3.0]; P=0.04) in the intervention group that used the ACP tool. CONCLUSION: ACP support tools are useful to manage patients with HF and could enable effective ACP without increasing patient anxiety.
Entities:
Keywords:
Advance care planning; Chronic heart failure; Decision-making; Support tool