PDF(Pubmed)
Abstract：
BACKGROUND: Advance Care Planning (ACP), as a process for expressing and recording patients\' preferences about end-of-life care, has received increasing attention in recent years. However, implementing ACP has been challenging in Iran.
OBJECTIVE: To assess the readiness for advance care planning and related factors in the general population of Iran.
METHODS: This cross-sectional study was conducted on the general population of Iran in 2022. The data was collected using demographic information questionnaire and The RACP Scale. The purpose and methodology of the research was explained to all participants, and upon their agreement an informed consent was obtained. Participants were invited to fill out the questionnaires wherever is more convenient for them, either alone or if needed, with the help of the researcher to protect their privacy. Chi-square, fisher exact test and multiple logistic Regression model were used to assess the effective factors on the RACP. The data were analyzed by SPSS software version 26.
RESULTS: A total of 641 people with an average age of 36.85 ± 12.05 years participated in this study. Of those, 377 (58.8%) had high RACP. The logistics model showed an association between the chance of readiness for receiving ACP with participants\' education level, such that the chance of readiness in those with Master\'s or Ph.D. degrees was three times higher than those with a diploma (p = 0.00, OR:3.178(1.672, 6.043)). However, the chances of readiness in those with bachelor\'s degrees was not significantly different from those with a diploma (p = 0.936, OR: 0.984 (0.654, 1.479)). Moreover, the chance of readiness was 1.5 higher in participants over 40 years of age compared with participants under the age of 40 (P = 0.01, OR: 1.571(1.10, 2.23)).
CONCLUSIONS: According to the findings of this study, it can be concluded that there is a relatively RACP among people in Iranian society. The readiness of individuals for ACP increases by their age and education level. Therefore, by holding appropriate training intervention, we can increase the readiness of the public for ACP to improve their end-of-life outcome.
OBJECTIVE: To assess the readiness for advance care planning and related factors in the general population of Iran.
METHODS: This cross-sectional study was conducted on the general population of Iran in 2022. The data was collected using demographic information questionnaire and The RACP Scale. The purpose and methodology of the research was explained to all participants, and upon their agreement an informed consent was obtained. Participants were invited to fill out the questionnaires wherever is more convenient for them, either alone or if needed, with the help of the researcher to protect their privacy. Chi-square, fisher exact test and multiple logistic Regression model were used to assess the effective factors on the RACP. The data were analyzed by SPSS software version 26.
RESULTS: A total of 641 people with an average age of 36.85 ± 12.05 years participated in this study. Of those, 377 (58.8%) had high RACP. The logistics model showed an association between the chance of readiness for receiving ACP with participants\' education level, such that the chance of readiness in those with Master\'s or Ph.D. degrees was three times higher than those with a diploma (p = 0.00, OR:3.178(1.672, 6.043)). However, the chances of readiness in those with bachelor\'s degrees was not significantly different from those with a diploma (p = 0.936, OR: 0.984 (0.654, 1.479)). Moreover, the chance of readiness was 1.5 higher in participants over 40 years of age compared with participants under the age of 40 (P = 0.01, OR: 1.571(1.10, 2.23)).
CONCLUSIONS: According to the findings of this study, it can be concluded that there is a relatively RACP among people in Iranian society. The readiness of individuals for ACP increases by their age and education level. Therefore, by holding appropriate training intervention, we can increase the readiness of the public for ACP to improve their end-of-life outcome.
摘要：
背景：高级护理计划（ACP），作为表达和记录患者对临终护理偏好的过程，近年来受到越来越多的关注。然而,在伊朗实施ACP一直面临挑战。
目的：评估伊朗普通人群中提前护理计划的准备情况和相关因素。
方法：这项横断面研究是在2022年对伊朗的普通人群进行的。使用人口统计信息问卷和RACP量表收集数据。向所有参与者解释了研究的目的和方法，并在他们同意后获得知情同意。参与者被邀请在对他们更方便的地方填写问卷，单独或如果需要，在研究人员的帮助下保护他们的隐私。卡方，采用fisher精确检验和多元logistic回归模型评估影响RACP的有效因素。数据采用SPSS软件26版进行分析。
结果：共有641人参加了这项研究，平均年龄为36.85±12.05岁。其中,377（58.8%）有较高的RACP。后勤模型显示了接受ACP的准备机会与参与者的教育水平之间的关联，这样，准备在那些拥有硕士或博士学位的人的机会比拥有文凭的人高三倍（p=0.00，或：3.178（1.672，6.043））。然而,那些有学士学位的人准备的机会与有文凭的人没有显著差异(p=0.936,OR:0.984(0.654,1.479))。此外，与40岁以下的参与者相比,40岁以上参与者的就绪机会高出1.5(P=0.01,OR:1.571(1.10,2.23)).
结论：根据本研究的结果，可以得出结论，在伊朗社会中，人们之间存在相对的RACP。个人对ACP的准备程度随着年龄和教育水平的增加而增加。因此,通过适当的培训干预，我们可以提高公众对非加太改善其临终结果的准备。
目的：评估伊朗普通人群中提前护理计划的准备情况和相关因素。
方法：这项横断面研究是在2022年对伊朗的普通人群进行的。使用人口统计信息问卷和RACP量表收集数据。向所有参与者解释了研究的目的和方法，并在他们同意后获得知情同意。参与者被邀请在对他们更方便的地方填写问卷，单独或如果需要，在研究人员的帮助下保护他们的隐私。卡方，采用fisher精确检验和多元logistic回归模型评估影响RACP的有效因素。数据采用SPSS软件26版进行分析。
结果：共有641人参加了这项研究，平均年龄为36.85±12.05岁。其中,377（58.8%）有较高的RACP。后勤模型显示了接受ACP的准备机会与参与者的教育水平之间的关联，这样，准备在那些拥有硕士或博士学位的人的机会比拥有文凭的人高三倍（p=0.00，或：3.178（1.672，6.043））。然而,那些有学士学位的人准备的机会与有文凭的人没有显著差异(p=0.936,OR:0.984(0.654,1.479))。此外，与40岁以下的参与者相比,40岁以上参与者的就绪机会高出1.5(P=0.01,OR:1.571(1.10,2.23)).
结论：根据本研究的结果，可以得出结论，在伊朗社会中，人们之间存在相对的RACP。个人对ACP的准备程度随着年龄和教育水平的增加而增加。因此,通过适当的培训干预，我们可以提高公众对非加太改善其临终结果的准备。
