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

Author

Listed:
  • Qiu Zhang

    (Department of Health Service Management, Public Health School of Sun Yat-sen University, Guangzhou 510060, China)

  • Chuanbo Xie

    (State Key Laboratory of Oncology in South China, Department of Preventive Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China)

  • Shanghang Xie

    (State Key Laboratory of Oncology in South China, Department of Preventive Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China)

  • Qing Liu

    (State Key Laboratory of Oncology in South China, Department of Preventive Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China)

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.

Suggested Citation

  • Qiu Zhang & Chuanbo Xie & Shanghang Xie & Qing Liu, 2016. "The Attitudes of Chinese Cancer Patients and Family Caregivers toward Advance Directives," IJERPH, MDPI, vol. 13(8), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:8:p:816-:d:75827
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    References listed on IDEAS

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    1. Pollack, Keshia M. & Morhaim, Dan & Williams, Michael A., 2010. "The public's perspectives on advance directives: Implications for state legislative and regulatory policy," Health Policy, Elsevier, vol. 96(1), pages 57-63, June.
    2. Rurup, Mette L. & Onwuteaka-Philipsen, Bregje D. & van der Heide, Agnes & van der Wal, Gerrit & Deeg, Dorly J.H., 2006. "Frequency and determinants of advance directives concerning end-of-life care in The Netherlands," Social Science & Medicine, Elsevier, vol. 62(6), pages 1552-1563, March.
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    Cited by:

    1. Jing Liao & Bei Wu & Jing Mao & Ping Ni, 2020. "Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    2. JinShil Kim & Mi-Seung Shin & Albert Youngwoo Jang & Shinmi Kim & Seongkum Heo & EunSeok Cha & Minjeong An, 2021. "Advance Directives and Factors Associated with the Completion in Patients with Heart Failure," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    3. Olivia Ibañez-Masero & Inés María Carmona-Rega & María Dolores Ruiz-Fernández & Rocío Ortiz-Amo & José Cabrera-Troya & Ángela María Ortega-Galán, 2019. "Communicating Health Information at the End of Life: The Caregivers’ Perspectives," IJERPH, MDPI, vol. 16(14), pages 1-11, July.

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