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Int. J. Environ. Res. Public Health 2016, 13(8), 816; doi:10.3390/ijerph13080816

The Attitudes of Chinese Cancer Patients and Family Caregivers toward Advance Directives

1
Department of Health Service Management, Public Health School of Sun Yat-sen University, Guangzhou 510060, China
2
State Key Laboratory of Oncology in South China, Department of Preventive Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 30 May 2016 / Revised: 5 August 2016 / Accepted: 8 August 2016 / Published: 11 August 2016
View Full-Text   |   Download PDF [288 KB, uploaded 11 August 2016]

Abstract

Advance directives (ADs) have been legislated in many countries to protect patient autonomy regarding medical decisions at the end of life. China is facing a serious cancer burden and cancer patients’ quality at the end of life should be a concern. However, limited studies have been conducted locally to gather information about attitudes toward ADs. The purpose of this study was to investigate the attitudes of Chinese cancer patients and family caregivers toward ADs and to explore the predictors that are associated with attitudes. The study indicated that although there was low awareness of ADs, most cancer patients and family caregivers had positive attitudes toward ADs after related information was explained to them. Participants preferred to discuss ADs with medical staff when they were diagnosed with a life-threatening disease. Preferences for refusing life-sustaining treatment and choosing Hospice-Palliative Care (HPC) at the end of life would increase the likelihood of agreeing with ADs. This suggests that some effective interventions to help participants better understand end-of-life treatments are helpful in promoting ADs. Moreover, the development of HPC would contribute to Chinese cancer patients and family caregivers agreeing with ADs. View Full-Text
Keywords: advance directives; Chinese; attitudes; cancer patients; family caregivers advance directives; Chinese; attitudes; cancer patients; family caregivers
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Zhang, Q.; Xie, C.; Xie, S.; Liu, Q. The Attitudes of Chinese Cancer Patients and Family Caregivers toward Advance Directives. Int. J. Environ. Res. Public Health 2016, 13, 816.

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