预立医疗照护计划的概念分析OA

Objective To clearly define the concept of advance care planning.Methods Rodgers'evolutionary concept analysis was employed to examine relevant literature on advance care planning in databases including CNKI,Wanfang Data,VIP,PubMed,Web of Science,CINAHL,Cochrane Library,and EMBASE,with a search period spanning from database inception to March 2026.Results A total of 57 articles were included,comprising 43 in English and 14 in Chinese.This conceptual framework comprised four core attributes of advance care planning:proactive planning,value preferences,multi-party communication,and individual-centered decision-making.Four antecedent variables were also delineated:individual background characteristics,cognitive and attitudinal foun-dations,social support and family involvement,and medical and cultural policy factors.The consequences encompassed four aspects:safeguarding patients'autonomy and decision-making participation,alleviating family decision-making burdens and psychological stress,optimizing resource allocation and enhancing care quality,and fostering ethical practice and harmonious doctor-patient relation-ship.Conclusion Advance care planning is a proactive individual-centered planning process characterized by family participation,aiming to assist individuals with decision-making abilities in clarifying their own values and care preferences,and facilitate ongoing communication with family members,proxy decision-makers,and healthcare professionals regarding potential future healthcare scenarios.