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To describe the knowledge and attitude of Chinese patients with advanced cancer towards advanced care planning (ACP), a convenience sample of 275 patients with advanced cancer was recruited from a tertiary cancer hospital in Beijing, China, between February and December 2017. The multi-item questionnaire focused on patients' demographics, disease characteristics and knowledge about and attitude towards ACP and was administered to eligible patients. Descriptive statistics were performed. Most patients had never heard about ACP (82.2%) and had never talked about ACP (83.0%), but only a few (18.3%) were not willing to talk about ACP. A total of 67.8% patients chose to refuse resuscitation attempts or life-sustaining medical interventions, and 70.8% of patients hoped to have surrogate decision makers when they became unconscious. By binary logistic regression analysis, patients who were of greater age, female and living in urban areas preferred to refuse resuscitation attempts or life-sustaining medical interventions (OR = 1.023, P = 0.042; OR = 2.011, P = 0.020; OR = 0.254, P < 0.01); patients who had very rich or rich family economic status preferred to involve surrogate decision makers compared with patients of very poor family economic status (OR = 0.250, P = 0.011). There is a large gap between the knowledge about ACP and the expectation of implementing ACP in Chinese patients with advanced cancer. To develop culturally appropriate and individualized programmes to promote knowledge and implementation in practice of ACP among Chinese patients with advanced cancer and their relatives is still a significant challenge.

Titel:	The Knowledge and Attitude Towards Advance Care Planning Among Chinese Patients with Advanced Cancer.
Autor/in / Beteiligte Person:	Hou, XT ; Lu, YH ; Yang, H ; Guo, RX ; Wang, Y ; Wen, LH ; Zhang, YR ; Sun, HY
Link:	View record at Springer (Volltext)
Zeitschrift:	Journal of cancer education : the official journal of the American Association for Cancer Education, Jg. 36 (2021-06-01), Heft 3, S. 603-610
Veröffentlichung:	New York : Springer ; <i>Original Publication</i>: New York : Pergamon Press, c1986-, 2021
Medientyp:	academicJournal
ISSN:	1543-0154 (electronic)
DOI:	10.1007/s13187-019-01670-8
Schlagwort:	Asian People China Female Humans Surveys and Questionnaires Advance Care Planning Neoplasms therapy
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [J Cancer Educ] 2021 Jun; Vol. 36 (3), pp. 603-610. MeSH Terms: Advance Care Planning* ; Neoplasms* / therapy ; Asian People ; China ; Female ; Humans ; Surveys and Questionnaires References: Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492. (PMID: 10.3322/caac.214923020759330207593) ; Ho AH, Leung PP, Tse DM, Pang SM, Chochinov HM, Neimeyer RA, Chan CL (2013) Dignity amidst liminality: healing within suffering among Chinese terminal cancer patients. Death Stud 37(10):953–970. https://doi.org/10.1080/07481187.2012.703078. 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(PMID: 10.1371/journal.pone.0197552299796786034783) Contributed Indexing: Keywords: Advance care planning (ACP); Advanced cancer; Attitude; Knowledge Entry Date(s): Date Created: 20191219 Date Completed: 20210929 Latest Revision: 20221207 Update Code: 20240513

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The Knowledge and Attitude Towards Advance Care Planning Among Chinese Patients with Advanced Cancer.