关键词: 预立医疗照护计划；准备度；量表

Abstract: Objective: To develop an Advance Care Planning (ACP) Readiness Scale in Chinese cultural background and to test its reliability and validity, and to provide an evaluation measurement for scientific research and practice in hospice care. Methods: Based on the literature review results, interviews of patients and experts, dimensions and items of ACP Readiness Scale were proposed. Totally 113 cases of community chronic disease patients were investigated to testify validity and reliability of ACP Readiness Scale. Results: The ACP readiness scale consists of three dimensions, including attitude, belief, and motivation, and totally 22 items. The I-CVI was 0.8-1.0, and the S-CVI/Ave was 0.986. The Cronbach's α coefficient of the scale was 0.923, and the Cronbach's α coefficients of attitude, belief, and motivation dimensions are 0.900, 0.880, and 0.835, respectively. The cumulative explanatory variable of the three factors of structural validity was 59.998%, which was within the acceptable range of measurements. Conclusion: The ACP Readiness Scale is with good reliability, validity and feasibility, and can be used as an evaluation tool for ACP readiness in Chinese chronic disease patients.

Key words: Advance Care Planning; readiness; scale