| Objective:Understand the people’s demand for ACP’s propagate preferences,select appropriate methods for future ACP communication,and increase public awareness of ACP.Methods:The research was composed of three stages.The first stage was the focus-group interviews to understand the specific needs of the for people’s ACP propagate preferences,using Colaizzi data analysis method and Nvivo software to encode data,forming nodes,refining themes,and summarize the ACP propagate preferences.The second stage,combining literature review content and group interview content to develop an ACP propagate preference questionnaire and conduct expert consultation The third stage was to investigate the people’s preference for advance care planning through questionnaires.Results:1.In the focus-group interviews with 7 people to complete the interview.From the former,there were extracted 3 themes and 4 sub-themes.2.Through a questionnaire survey,it was found that 79.8%of people did not know the concept of ACP,and only 20.2%had heard of ACP;The contents of ACP that the people is most concerned about are the benefits of ACP(74.80%),the concept of ACP(72.20%),the use of ACP(70.70%),communication of ACP(62.80%),ACP and medical decision-making(62.20%),ACP,and tranquility care(55.70%).A comparison was made between the 6 types of ACP communication content requirements.The difference was statistically significant(?~2=18.56,P<0.05).3.The disseminators expected by the people to obtain ACP information are Medical staff(85.40%),ACP related workers(72.40%),volunteers(40.70%),friends/relatives(24.60%),neighborhood committee(22.40%),labor union(20.90%),stars(8.90%).The group needs to compare the needs of these 7 types of ACP The difference is statistically significant(?~2=583.99,P<0.05).4.According to research,the people’s propagate for ACP’s transmission locations is ranked by hospitals(75.90%),communities(75.00%),schools(40.70%),public transportation stations(35.70%),and commercial places(31.10%).The needs of the five types of ACP transmission sites were compared between groups,and the differences were statistically significant(?~2=172.02,P<0.05).5.According to research,the people’s for propagate ACP’s communication methods is ranked by WeChat account(63.00%),interviews/lectures(61.10%),video animation(53.00%),manuals/boards(52.00%),government/Hospital website(46.50%),free consultation activities(31.50%),APP(29.80%),Weibo(27.60%),cultural programs(22.00%),questionnaires(17.20%),games(15.00%).Comparing the needs of these 11types of ACP transmission methods between groups,the difference is statistically significant(?~2=373.61,P<0.05).6.The results of multivariate logistic regression analysis show that the utilization rate of women’s access to ACP information through new media is higher than that of men(OR:1.940,95%CI:1.115-3.377);The utilization rate of ACP information obtained by the media is higher than that of people with junior high school education or less(OR:0.104,0.297,95%CI:0.022-0.488,0.097-0.911).The older people use traditional media to obtain ACP information with a higher utilization rate(OR:0.159,0.098,95%CI:0.029-0.887,0.019-0.500,).The utilization rate of retired people using traditional media to obtain ACP information is higher than that of government agencies and institutions(OR:0.217,95%CI:0.056-0.838).Conclusion:1.The survey found that the people has a low awareness of ACP and has a need for the dissemination of ACP.The people’s access to ACP information is affected by factors such as age,education level,and professional background.2.The young and highly educated people want to obtain ACP information through new media,and the elderly and low education people want to obtain ACP information through traditional media.3.People in government agencies and public institutions hope to obtain ACP information through medical staff and ACP-related workers.Retired people hope to obtain ACP information through volunteers and neighborhood committees. |
PDF Full Text Request