时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
However, research indicates a notable gap wherein decisions related to end-of-life care and treatments are frequently overlooked, leading to residents undergoing unnecessary interventions and enduring unresolved symptoms in their final months [, ].；While ACP discussions are prevalent amongst the Chinese population in Asian regions with well-integrated palliative and hospice care services, such as Hong Kong, Taiwan, and Singapore, the city of Shenzhen in China has only recently implemented legislative measures regarding ACP.；Nevertheless, its scope remains relatively limited.
方法
The quantitative component measured change in knowledge, self-efficacy, and ACP practices, while the qualitative component provided deeper insights into participants’ experiences and perceived barriers or facilitators to implementation.；A questionnaire consisting of 37 questions was developed.；The study subsequently invited 3 experts in the field of palliative and end-of-life care from Beijing (1) and Macau (2), to review the questionnaire and determine if the questionnaire was semantically, idiomatically, experientially and conceptually equivalent to the Chinese context of Macau.；Based on the expert review, the content validity index (I-CVI) of the knowledge of ACP was 0.91, I-CVI of self-efficacy was 1.00 and ACP practices was 1.00, indicating high levels of validity of the questionnaire.
核心结论
Additionally, only 3 out of 12 participants currently identified the practical execution of ACP (item 4), with a prevailing belief amongst most participants that ACP could only be activated when an individual is terminally ill or in an irreversible coma.；The most significant difference observed was a higher number of participants actively engaging in discussions about ACP with residents or their relatives.；Moreover, there was an increased willingness amongst participants to discuss and implement ACP with residents or their relatives. ‖ 结论：These findings underscore the importance of ongoing support, adaptability in interventions, and a comprehensive understanding of contextual factors to bridge the gap between intention and practice in ACP.
局限
The relaxation of pandemic prevention measures by the government in December 2022 [], leading to a surge in COVID-19 cases in long-term care facilities, likely contributed to the lack of actual ACP implementation.；While the intervention was associated with promising changes in knowledge and reported practice, these should be interpreted as exploratory and context-specific.；Future research should test this intervention in larger, more diverse samples, ideally incorporating comparison groups and longitudinal follow-up to assess sustained practice change.
对本项目的价值
★☆☆☆☆ 干预证据决定参照标准效应量——任何抗衰干预的收益至少应对标该基线。
全文来源
PMC JATS 全文（正文 32,381 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：The implementation and evaluation of an advance care planning education intervention in a long-term care facility: a feasibility study.
- 期刊与标识：BMC Nurs · PMID 42958319 · DOI 10.1186/s12912-026-05149-y
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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