主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (1): 129-133.doi: 10.3969/j.issn.1672-1756.2026.01.025

• 专科管理 • 上一篇    下一篇

晚期癌症患者预立医疗照护计划的构建及验证

潘靖达 凌冬兰 徐文婷 钟佩琴 谭翠容 曾巧苗 林克兰 张澍芳 陈昊   

  1. 广州医科大学附属第二医院肿瘤科，510260 广州市（潘靖达，徐文婷，钟佩琴，谭翠容，林克兰，张澍芳，陈昊）；护理部（凌冬兰）；中南大学湘雅医院肿瘤放疗科（曾巧苗）
  • 出版日期:2026-01-15 发布日期:2026-01-15
  • 通讯作者: 凌冬兰，硕士，副主任护师，硕士生导师，E-mail:lingdonglan@gzhmu.edu.cn
  • 作者简介:潘靖达，硕士
  • 基金资助:
    2025年度教育部人文社会科学研究规划基金课题（25A10570006）；广东省岭南南丁格尔研究院&广东省护理学会护理创新发展研究课题（YJYM202305）；2024年广州市教育局高校科研项目（2024312057）

Development and validation of an Advance Care Planning document for patients with advanced cancer

PAN Jingda, LING Donglan, XU Wenting, ZHONG Peiqin, TAN Cuirong, ZENG Qiaomiao, LIN Kelan, ZHANG Shufang, CHEN Hao   

  1. Oncology Department, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510260, China
  • Online:2026-01-15 Published:2026-01-15
  • Contact: E-mail:lingdonglan@gzhmu.edu.cn

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摘要： 目的：构建晚期癌症患者预立医疗照护计划（Advance Care Planning, ACP）并进行初步验证，为临床医护人员开展ACP提供参考依据。方法：2024年1月—9月，基于文献综述、善终照护框架、专家会议法形成晚期癌症患者ACP文本。于2024年12月至2025年1月，采用目的抽样法招募广州市某三级甲等医院25名晚期癌症患者完成ACP文本并评价。结果：ACP文本包括文本介绍、知情同意、生命质量愿望、医疗照护指示、生命尊严嘱托、爱的嘱托签订、健康评估7个一级主题和33个二级主题。患者对文本的可行性、适用性、满意度、意义评分分别为（4.91±0.32）、（4.80±0.52）、（4.75±0.66）、（4.93±0.63）分，92%的患者认为该文本很有意义。结论：基于善终照护框架和我国文化构建的ACP文本具有科学性和可行性，可为临床医护人员开展ACP提供参考。

关键词: 安宁疗护；预立医疗照护计划；生前预嘱；癌症；文本

Abstract: Objective: To develop and validate an Advance Care Planning (ACP) document for patients with advanced cancer, in order to provide a basis for healthcare professionals to implement ACP. Methods: From January to September 2024, an ACP document for advanced cancer patients was developed based on the Good Death framework utilizing a combination of literature review and an expert panel. From December 2024 to January 2025, Twenty-five advanced cancer patients were recruited by purposive sampling from a tertiary grade A hospital in Guangzhou to pilot and evaluate the ACP document. Results: The final ACP document included seven primary themes: introduction to ACP, informed consent, quality-of-life aspirations, medical care directives, life dignity directives and love and legacy agreements, and health assessment, as well as 33 secondary themes. The mean score of feasibility, applicability, satisfaction, and meaning were 4.91±0.32, 4.80±0.52, 4.75±0.66, and 4.93±0.63, respectively. Ninety-two percent of patients believed that the document was highly meaningful. Conclusion: This ACP document, based on the Good Death framework and Chinese cultural context, demonstrates scientific rigor and feasibility, and provides a reference for clinical healthcare professionals in implementing ACP practices.

Key words: palliative care; advance care planning; advance directives; cancer; document

中图分类号:  R47；R197
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