Abstract:

Objective To investigate the current status of cognition and attitude of community residents for advance care planning（ACP） in Zhengzhou and its influencing factors. Methods A multi-stage random sampling was used through a questionnaire survey on 342 residents from 4 communities in Zhengzhou. The factors influencing positive attitude of community residents were analyzed by logistic regression. Results The cognition of community residents to ACP in Zhengzhou was scored 0~5 [0（0,1）];the total score of attitude is 15~62 [40（26,49）]. Logistic regression analysis showed that age,the previous experience of caring for family or friends in hospital and the experience of family or friends receiving life support treatment were the influencing factors of positive attitude of community residents to ACP in Zhengzhou（P<0.05）. Conclusion The cognition of community residents to ACP is at a low level,while the overall attitude is positive. Senior residents,residents with experience of caring for relatives and friends in hospitals and experience of family or friends receiving life-sustaining treatment have a more positive attitude towards ACP. Health care workers should work with relevant organizations to promote the popularization and acceptance of ACP,and should also provide targeted education and services for different groups in order to promote ACP.

Key words: Advance Care Planning, Community Residents, Cognition, Attitude, Family Nursing

摘要：

目的 调查郑州市社区居民预立医疗照护计划（advance care planning,ACP）认知及态度现状并分析影响因素,为ACP的推广实施提供参考。 方法 2018年11月—2019年5月,采用分阶段随机抽样法对郑州市4个社区的342名居民进行问卷调查。采用Logistic回归分析探讨影响社区居民对ACP采取积极态度的因素。 结果 郑州市社区居民对ACP认知总得分为0~5[0（0,1）]分;态度总得分为15~62[40（26,49）]分。Logistic回归分析结果显示,年龄、有在医院照护亲友经历、有亲友接受生命维持治疗经历是影响郑州市社区居民ACP态度的因素（P<0.05）。 结论 郑州市社区居民ACP认知处于较低水平,整体态度较积极。高龄、有在医院照护亲友以及有亲友接受生命维持治疗经历的社区居民对ACP态度较积极。医护人员应与相关团体共同合作促进ACP概念的普及,提高接受度;为不同特征群体提供针对性的教育与服务,促进预立医疗照护计划的实施。

关键词: 预立医疗照护计划, 社区居民, 认知, 态度, 家庭护理（专业）