Factors influencing the willingness of older cancer patients to receive palliative care in advance care planning in southern Taiwan

MUIR > Graduate Institute of Health Care > Department of Nursing > Papers > Item 987654321/4227

Please use this identifier to cite or link to this item: http://ir.meiho.edu.tw/ir/handle/987654321/4227

Title:	Factors influencing the willingness of older cancer patients to receive palliative care in advance care planning in southern Taiwan
Authors:	劉怡伶
Contributors:	健康暨護理學院
Date:	2024-07-11
Issue Date:	2024-07-12T02:42:22Z (UTC)
Abstract:	This study investigates the factors influencing the willingness of older cancer patients to receive palliative care, considering the ‘person-centered’ approach to advance care planning in Taiwan. Autonomy challenges are prevalent among these patients. The retrospective study, conducted at a tertiary teaching hospital in southern Taiwan from June 2020 to December 2022, included 195 eligible older cancer patients. Logistic regression was utilized to analyze factors influencing their willingness for palliative care. The optimal logistic regression analysis identified five key factors associated with receiving palliative care: age (OR, 0.42; 95% CI, 0.20–0.92), educational level (OR, 2.82; 95% CI, 1.27–6.25), metastatic disease (OR, 4.62; 95% CI, 2.08–10.27), hospice and palliative care knowledge (OR, 1.32; 95% CI, 1.11–1.57), and attitude (OR, 1.22; 95% CI, 1.12–1.33). The findings suggest that younger, more educated patients with metastatic disease, higher knowledge of hospice and palliative care, and positive attitudes toward these services were more likely to receive palliative care. Patients’ awareness of hospice and palliative care, attitudes shaped by such awareness, and disease status significantly influenced their willingness to undergo palliative care. This highlights the increasing vulnerability of older cancer patients to decision-making challenges as their illness progresses, emphasizing the importance of initiating conversations about advance care planning early on. Healthcare practitioners are urged to actively advocate for these discussions, particularly considering the decline in decision-making capacity as the disease advances. Future research should focus on empowering individuals in making end-of-life care choices.
Appears in Collections:	[Department of Nursing] Papers

Files in This Item:

There are no files associated with this item.

View Licence

Loading...