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 (p0.05). 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.
Original language | English |
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Pages (from-to) | 328-336 |
Number of pages | 9 |
Journal | Thorax |
Volume | 74 |
Issue number | 4 |
DOIs | |
Publication status | Published - Apr 2019 |
Keywords
- OF-LIFE CARE
- PALLIATIVE CARE
- HOME INTERVENTION
- COMMUNICATION
- END
- PREFERENCES
- ATTITUDES
- EFFICACY